gate pass - ignouignou.ac.in/userfiles/gate pass.pdf· l@jc! lignouthe people's university
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· l@Jc! lignou � THE PEOPLE'S
UNIVERSITY
��'<I�� � fcl:rq��lc'1G! INDIRA GANDHI NATIONAL OPEN UNIVERSITY
� �. ';::j·� � -- 110 068MAIDAN GARHI, NEW DELHI- 110 068 .............................. (lq) CfTtffi � � I
� -7)c LfffiMATERIAL GATE PASS
(�· fcMm) _S_ECURITY DEPARTMENT
� CfTtffi ;:ffi't cw.fr � IReturnable . . ..... ....... ... . .... by ..................... . Non-Returnable (Date)
� /Date . . . . . ..... . .... . ..... ........ . .... . . ........... .
����� �--------------------
WW"T FclialtYid em� am fcl�qfclt�lc>i� ��� "fr Plk1R>l�t�C1 � em ��� � "fr � � "\1fR � � 1§1 'Gl'Rlt �, Mr./Mrs./Miss ___________________ ,Designation ----------
Division/School/Company is hereby authorised to take following stores/
Equipment out of the university campus/building permanently/retunable to �
� �q)f-.wf �¥�
S.No. Name of Stores/Stock the Item Book No.
1 2 3
1.
2.
3.
4.
5.
6.
7.
8.
� � � Cf)T -.wr q 5ttllffi Name and Signature of individual/
Representative of Company
EFfiClC �· "Efi6'X�� � Cl'11Rf � cCr &R��. Cf)T Cf)RUT ��
Make and Reason Expected date of the Model No. item being return back
4 5 6
��) (Security Officer)
1'<T -.=rf+{ q tj'ffi'
� � Quantity Remarks
7 8
� 5ttlll9'<cp(1� Authorised Signatory
Name and designation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
� '§4'<ql�\)1'( � 5ttlla:R Signature of the Security Supervisor
in Full in Block Letters with office seal
W C1lll � 1?l; \3'fr q;re � I STRIKE OUT WHICHEVER IS NOT APPLICABLE
�IUIQld /WWT School/Division
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