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UNSERVICEABLE ARTICLES TO BE SURVEY REPORTED

Form No. 20 (Para 10 to 12) To be filled in triplicate

1. Institution 5. Stock taking on


2. Department / Section 6. Office Order No./ Date
3. Type of Stock 7. Actual Verification date From To
4. Person in Charge : 8. Verifying Officer :
Designation Designation
Stock Ref. Description of Articles Book Value Remarks of the Officer-in- Remarks Order of Remarks
Ledger Charge explaining the order of Controlling
Qnty. Price Value Date of Duration
Folio No. reason for the articles the Head Authority
Per Receipt of Idle
becoming unserviceable of
unit
Institution
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Stock Ref. Description of Articles Book Value Remarks of the Officer-in- Remarks Order of Remarks
Ledger Charge explaining the order of Controlling
Qnty. Price Value Date of Duration
Folio No. reason for the articles the Head Authority
Per Receipt of Idle
becoming unserviceable of
unit
Institution
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

Certified that all stock & store have been produced correctly and truely for verification and duly verified.

Person-in-Charge Officer-in-Charge Verifying Officer Head of Institution


Of Deptt./Section

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