IT Equipment Transfer and Disposal Receipt

Date:
Receipt No.:
Originating Department / Person
Department:
Person In Charge:
Receiving Department / Person
Department:
Person In Charge:
Equipment Details
No. Item Description Brand/Model Asset Tag / S/N Condition Remarks
Reason for Transfer/Disposal
Prepared by:


Name & Signature
Approved by:


Name & Signature
Received by:


Name & Signature