JEEVAN JYOTI HOSPITAL
ALLAHABAD
                                 CONDEMNATION FORM
S.No                                                                            Dt
To,                                                                             From
Director                                                                        BME- __________
       Full item description-                                   Estimate Value         Net book value
S.     Name Model, make and                                     <to be filled by       <to be Filled by
No.    Sr. No.                   Qty    Asset No.   Location       Finance>               Finance>
Please endorsed/attached NOC issued by BME/Engg. Dept.
Prepared by                       Recommended HOD                  Approved Chairman
                                                                  Condemnation Committee
Finance Dept. :     Checked and forwarded to BME Dept. for disposal
                                                                         Signature and Date
BME Dept.
Please arrange for the disposal of the items mentioned on request form
Approximate value given above.