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Employee Equipment Checkout Form
Please fill the form carefully
*
Employee Name:
*
First Name
*
Last Name
This field is required.Please enter value
This field is required.Please enter value
*
Employee ID Number:
This field is required.Please enter value
The value allows only numbers
Invalid number!
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
*
Email id:
This field is required.Please enter value
Please enter valid email address
*
Mobile No:
This field is required.Please enter value
Invalid phone number.
The value must be less than or equal to 20
Equipment checked out:
Laptop
Laptop Carrying Case
AC Power Cord
Docking Station
Webcam
Bluetooth Mouse
Others
This field is required.Please enter value
Please specify :
This field is required.Please enter value
Comments :
This field is required.Please enter value
I acknowledge the equipment I have received is in good physical working condition.
I acknowledge the equipment I have received is in good physical working condition.
This field is required.Please enter value
Employee Signature:
This field is required.Please enter value
Submit
