Government of Mizoram
Department of Information & Communication Technology 
Aizawl, Mizoram 

LAPTOP  ISSUE  SLIP 

 Laptop                     :  1. IBM   	  2. SAMSUNG 	  (mark tick) 

Name of the officer: 

Purpose                   : 

Date                         : From______________ to ___________________

Period                      : From ______:_______ hrs   to________ :_______hrs 

Signature                 :   

Controlling Officer 

SIO 

SEG Use 

Issue Officer: 

Signature: 

Date: