Proof of Delivery (POD)
Hardware Installation
Store Code
*
Store Name
*
(Include the name of store)
Installation Date and time:
XPD Installer Details
*
First Name
Last Name
Items delivered and installed
*
Manufacturer
Model Number
Serial Number
Screen
Router
Additional Comments
Is/Are all items received in good order?
*
Yes
No
Store Manager Details (Alternatively details of Assistant Manager)
*
First Name
Last Name
Store Manager Signature (Alternatively signature of Assistant Manager)
*
Date and time signed:
Submit
Submit
Should be Empty: