Doc Ref : BCL/2015/ASDEC
IT - ASSET DECLARATION Version : V2.1
FORM Dept : IT
I agree to take responsibility for the equipment’s and associated peripherals detailed below.
Reference: IT/ASSETJUL/2016/AUG/2.1
*EMPLOYEE INFORMATION
*NAME:
EMPID: *DEPARTMENT:
PHONE NUMBER: EMAIL:
*Equipment Details:
DEVICE NAME(DESKTOP/LAPTOP/MOBILE :
MAKE AND MODEL:
SERIAL NUMBER:
BORN ASSET NUMBER:
ACCESSORIES DETAIL:
OTHER EQUIPMENTS
MAKE MODEL SERIAL NUMBER BORN ASSET TAG
This declaration will last until I relinquish custodianship by returning the laptop/phone and all peripherals to
IT support department
P.S I’m fully responsible for this asset/device, if any damages/lost, the employee has to bear the cost of the
spare.
*EMPLOYEE SIGNATURE: ……………………………………………. DATE: ………………..
*DEPT HEAD NAME & SIGNATURE ………………………………
…………………………………………………………………… DATE: .……………….
*IT MANAGER SIGNATURE: …………………………………………... DATE: ……………….
Note: * All mandatory fields must be filled out properly without which will not speed up the process