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E-Waste OD Form

The document is an OD Form for declaring electronic and electrical items as obsolete or non-repairable. It includes a list of various categories of items such as monitors, CPUs, printers, and domestic appliances, along with a certification section for the committee and head of the office. The form requires details about the items and certifies that they are beyond economic repair or technology obsolete.

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anindyaban
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70 views1 page

E-Waste OD Form

The document is an OD Form for declaring electronic and electrical items as obsolete or non-repairable. It includes a list of various categories of items such as monitors, CPUs, printers, and domestic appliances, along with a certification section for the committee and head of the office. The form requires details about the items and certifies that they are beyond economic repair or technology obsolete.

Uploaded by

anindyaban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OD Form : E-waste (declaring Electronic / Electrical items Obsolete/Non-repairable)

Name of Office:
Name of the Head of the Office:
Name of the Contact Person:
Email: Contact No:

ELECTRONIC/ELECTRICAL SCRAP ITEM Number Remarks


CATEGOYR 1: CRT Monitors
CATEGOYR 2: Flat Screen Monitors : LCD
CATEGOYR 2: Flat Screen Monitors : LED
CATEGOYR 3: CPU Fully intact complete(with all components)
CATEGOYR 3: CPU (with missing components)
CATEGOYR 3: CPU :CPU cabinet without any components
CATEGOYR 4: Deskjet Printer
CATEGOYR 4: Dot Matrix Printer
CATEGOYR 4: Laserjet Printer with toner
CATEGOYR 4: Printer all in one
CATEGOYR 4: Printer Line Printer
CATEGOYR 5: Scanner
CATEGOYR 6: Networking Switch
CATEGOYR 7: Keyboards
CATEGOYR 8: Mouse
CATEGOYR 9: UPS with battery
CATEGOYR 9: UPS without battery
CATEGOYR 10: UPS battery
CATEGOYR 11: Server
CATEGOYR 12: Laptop
CATEGORY 13: Washing Machine
CATEGORY 14: Air Conditioners
CATEGORY 15: Refrigerator
CATEGORY 16: Telecomm. Devices: Mobile Phone (with battery)
CATEGORY 16: Telecomm. Devices: Tablet
CATEGORY 16: Telecomm. Devices: Telephone
CATEGORY 16: Telecomm. Devices: Projector
CATEGORY 17: Domestic Appliances: Microwave Oven
CATEGORY 17: Domestic Appliances: Water Heater/Geyser
CATEGORY 17: Domestic Appliances: CRT TV
CATEGORY 17: Domestic Appliances: LCD/Plasma/LED TV
CATEGORY 17: Domestic Appliances: Coffee Machine
CATEGORY 17: Domestic Appliances: Water purifier/dispenser
CATEGORY 17: Domestic Appliances: Exhaust Fan
CATEGORY 18: Office Equipment: Xerox Machine

Certified that items(s) is/are - * Beyond economic repair * Technology obsolete * Non-repairable (spares are not available)
* Life span is over as recommended by Obsolescent Declaration Committee

Undertaking: The items(s) mentioned above is/are as per original configuration issued by the Technical Stores and is/are not
usable. Above item(s) is/are in physical custody of this Division/Group/Centre. This is also certified that contents in the hard disk,
if any, has been removed.

Committee members : (Name, Designation) Signature of the Committee members

Head of the Office : (Name, Designation) Signature of Head of the Office

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