Laptop Issue Form
Name of Employee: __________________________________________
ID No: __________________ Phone No: __________________________
Department: ______________________ Date Received: ________________
I have received the following Laptop Computer:
Make: _______________ Model No: _________________ Serial No.: __________________
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EMPLOYEE UNDERTAKING
o I understand that I am being issued a laptop computer as a tool to facilitate my work.
o I understand that I am responsible for the laptop computer issued to me and that I
will care for the equipment in such a manner as to prevent loss or damage. I further
understand that:
o The laptop is a work tool and should be brought to work each day.
o The laptop should never be left unattended after office hours, weekends, holidays,
etc.
o In the case of any damages or abuse of the laptop, or because of my failure to follow
company technology acceptable use policies, including this agreement, I understand
I will be held responsible for payment of repairs or replacement.
o In the event of damage, loss, or theft of the laptop, I am responsible for obtaining an
incident-specific police report immediately. I will immediately notify my manager or
his/her designated representative for repair or replacement matters.
o The laptop computer and any other accessories/components will be returned to the
proper company authority immediately upon termination of my employment, or at
any other time as specifically directed by authority.
o Use of this laptop is governed by the subject to the rules and conditions of KETSA
Acceptable Use Policy, Legal laws of the land and other applicable rules and
guidelines of the Republic of Kenya.
o I agree to the above terms and conditions as such, agree to fully cooperate with
property loss reporting requirements and with property loss incident investigations.
My signature below indicates I have thoroughly read and understand the above
information.
Employee Signature: ____________________ Date: _____________________
Issued By: _____________________________ Designation: _______________________
Date Issued: _____________________
