| Unit/Organization Name | |
| Contact Person | |
| Contact Number | |
| Email Address |
| Description of Equipment | |
| Quantity | |
| Serial/Identification Numbers | |
| Value |
| From (Location) | |
| To (Destination) | |
| Date of Movement | |
| Mode of Transport | |
| Transport Vehicle Details | |
| Driver/Personnel Name(s) | |
| Escort Details |
| Approving Authority Name | |
| Rank/Position | |
| Date Approved |