OXINUS HOLDING LIMITED
Abu Dhabi-UAE
www.oxinus.holdings
Declaration Form for Objects on Loan
Employee Details
Employee Name(s):
File Number:
Job Title:
Department / Location:
Direct Manager:
Joining date
SIM Card Details
Invoicing Type:
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POST PAID
PRE PAID
No.:
Monthly allowance / Limit:
Roaming:
Mobile Phone Details
Mobile Brand:
Model No.:
IMEI No.:
Laptop Details
Mobile Brand:
Model No.:
IMEI No.:
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Sr. No
Additional Part
IMEI no.
Please elaborate
By signing this form, I acknowledge that the
above detailed items
were issued to me as indicated above belong to . In the event of my resignation, transfer or termination or upon the request of Oxinus Holdings, all the items mentioned above will be returned to the company representative in best working condition. I hereby irrevocably authorize Oxinus Holdings to deduct from my financial dues all damages deemed intentional and any related charges are due to the service provider due to my Personal preferences/utilization of services.
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Employee Signature and Employee no.
Date
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Issued By
Date
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