ASSET ACCOUNTABILITY AND DECLARATION FORM
DATE
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Date
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Minutes
AM
PM
AM/PM Option
NAME
*
(SURNAME, NAME, M.I.)
EMAIL
*
example@example.com
POSITION
*
DEPARTMENT
*
SECTION
*
LOCATION
*
(MAIN OFFICE, ORTIGAS OFFICE, NEPO QUAD, ETC.)
IMMEDIATE SUPERIOR
*
*
DESKTOP
LAPTOP
TABLET
PERIPHERALS ONLY
Other
DESKTOP
SPECIFICATION
LAPTOP
SPECIFICATION
TABLET
OTHER EQUIPMENT
(Please specify asset type and brand)
BRAND
*
PROCESSOR
*
Rows
Brand
Specification
MEMORY (Installed RAM)
*
Rows
Brand
Specification
VIDEO CARD (Display Adapters)
*
Rows
Brand
Specification
STORAGE (Disk Drives)
*
Rows
Brand
Specification
SERIAL NO.
YEAR ISSUED
SPECIFICATION
PERIPHERALS
Rows
Brand
Year Issued
Serial No.
Specification
MONITOR
CD/DVD
MOUSE
KEYBOARD
PRINTER
CHARGER
UNINTERRUPTIBLE POWER SUPPLY (UPS)
AUTO-VOLTAGE REGULATOR (AVR)
HEAD SET
WEB CAM
OTHERS (please specify asset type and brand)
REMARKS
ASSET ACCOUNTABILITY DECLARATION
*
I ACKNOWLEDGE THAT I HAVE RECEIVED THE ABOVE EQUIPMENT INCLUDING ITS PERIPHERALS AND ACCESSORIES IN GOOD WORKING CONDITION FOR USE IN THE CONDUCT OF MY WORK ASSIGNMENT.
*
I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO TAKE CARE OF THE EQUIPMENT AND TO KEEP THESE, INCLUDING SHARED EQUIPMENTS WITHIN OUR DEPARTMENT, SAFE AT ALL TIMES.
*
I UNDERSTAND THAT THE EQUIPMENT IS EXPECTED TO BE UTILIZED FOR ITS INTENDED BUSINES PURPOSE ONLY AND THAT I WILL NOT INSTALL ANY UNATHORIZED SOFTWARE TO THE COMPUTER EQUIPMENT SPECIALLY THOSE THAT ARE NOT RELATED TO COMPANY WORK AND THE PERFORMANCE OF MY DUTIES (i.e., games, torrent downloaders, etc.).
*
I AM AWARE THAT IF THE EQUIPMENT IS BROKEN, IT IS MY RESPONSIBILITY TO IMMEDIATELY REPORT THE INCIDENT TO THE MIS DEPARTMENT
*
I UNDERSTAND THAT I MAY BE CHARGED FOR ANY DAMAGES THAT OCCURRED WHILE THE EQUIPMENT IS IN MY POSSESSION AS A RESULT OF MISUSE OR NEGLIGENCE
*
I UNDERSTAND THAT ONCE MY EMPLOYMENT ENDS WITH THE COMPANY, IT IS MY RESPONSIBILITY TO RETURN ALL EQUIPMENT ISSUED TO ME. FAILURE TO DO SO WILL RESULT IN THE WITHHOLDING OF MY FINAL PAY.
*
BY SIGNING THIS FORM AND MY CONTINUED USE OF THE EQUIPMENT, I CONFIRM THAT I WILL DILIGENTLY USE THE EQUIPMENT, I WILL ENSURE PROTECTION OF DATA AND INFORMATION, I WILL NOT RELEASE COMPANY INFORMATION TO ANYONE OUTSIDE ANGELES ELECTRIC CORPORATION.
Signature
*
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