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MOBILIZATION REQUEST FORM

NO.
DATE: 10/202018
MASTER ADDITIONAL FREE OF CHARGE ADVANCE ORDER
✘ SAMPLE/DEMO WARRANTY REPLACEMENT

1. CUSTOMER DETAILS:
Customer Name: BAGUIO PLDT DEMO Order Voucher (OV) #

Address / Location: Baguio City REFERENCE #

Project Engineer/Contact# WILSON SUMALABE

Person-in-charge/Contact#

Contact Person on Site / Eduard Vasquez / Tristan Apostol 0906- Delivery Time Period: 7:30AM
Contact# : 4231238 From_ _:_ _(am/pm)To_ _:_ _(am/pm)

2. DELIVERY INSTRUCTIONS: Request Count:

ITEMS FOR PICK-UP AT:OFFICE WAREHOUSE OTHERS _____________________________________


ATTACHED
INDICATE CUSTOMER'S PURCHASE ORDER NUMBER IN THE DELIVERY RECEIPT _____ COPY OF CUSTOMER'S PURCHASE ORDER IN THE DELIVERY RE
PO#________
ORIGINAL COPY OF DELIVERY RECEIPT TO BE RETURN TO THE OFFICEDELIVERY RECEIPT SHOULD BE SIGNED BY CUSTOMER:______________________
✘ OTHERS

3. BILL OF QUANTITIES:

Active Components [Network Switches, Routers, Wireless Devices, Computers / Monitors, UPS, CCTV Cameras, Acces Controls],
Fabrications with drawings [ Cable Trays, Ladders, Wire Gutters / Fittings, Racks & Cabinets, Pull / CP boxes, Wire Managers,
PDU], Generic Branded Structured Cabling Products, APC Brand Products
Availability
Item Brand Code DESCRIPTION Qty Units Date Needed Status
1 Hikvision CPU COREi5 FATAG- 007495 1 set 10/202018
2 Any HIKVISION NETWORK CAMERA (BULLET)DS-2CD1021-I SN# 1 Units 10/202018
3 UBNT KEYBOARD w/ MOUSE 1 pcs 10/202018
4 any THOUGH SWITCH 8 PORT 1 set 10/202018
5 Samsung POWER STRIP 1 pcs 10/202018
6 any EXTENSION CORD 10m 1 pcs 10/202018
7 any PATCH CORD alantek 5m 7 pcs 10/202018
8 any 32" LG DIGITAL SIGNAGE MONITOR 1 pcs 10/202018
9 any HDMI CABLE 3m 1 pcs 10/202018
10 any Rj45 CAT5e Connector 20 pcs 10/202018
11 any MASKING TAPE 1 pcs 10/202018
12 any ELECTRICAL TAPE 1 pcs 10/202018
13 any CABLE TIE 100 pcs 10/202018
14 any STRETCH FILM 1 roll 10/202018
15 any PUBRICATED MONITOR STAND 1 set 10/202018
16 PATCH CORD 20m (any) 1 pcs 10/202018
17 NVR Hikvision DS9632 32Channel nvr 1 set 10/202018

NOTE: Hikvision provided Ms Julie already in warehouse PTZ, Bullet Tripod


Requested By: equipment already prepared in our warehouse

Project Engineer Department Head

Kick off Meeting Date:


NET PACIFIC INC.

F-PL-OFFICE-013

ISSUED: NOV..2017 Materials checked from Stocks PAL Rep ____________


REVISED:02
MOBILIZATION REQUEST FORM
NO.
MASTER ADDITIONAL FREE OF CHARGE ADVANCE ORDER SAMPLE/DEMO WARRANTY REPLACEMENT DATE:

1. CUSTOMER DETAILS:
Customer Name: Order Voucher (OV) #

Address / Location: REFERENCE #

Project Engineer/Contact#

Person-in-charge/Contact#

Contact Person on Site / Delivery Time Period:


Contact# : From_ _:_ _(am/pm)To_ _:_ _(am/pm)

2. DELIVERY INSTRUCTIONS: Request Count:


ITEMS FOR PICK-UP AT: OFFICE WAREHOUSE OTHERS _____________________________________
ATTACHED
INDICATE CUSTOMER'S PURCHASE ORDER NUMBER IN THE DELIVERY RECEIPT _____ COPY OF CUSTOMER'S PURCHASE ORDER IN THE DELIVER
PO#________
ORIGINAL COPY OF DELIVERY RECEIPT TO BE RETURN TO THE OFFICE DELIVERY RECEIPT SHOULD BE SIGNED BY CUSTOMER:__________________
OTHERS

3. BILL OF QUANTITIES:
FDAS, Panel Boards, Transformers, Paging Systems, Lighting Fixtures, ACU/PACU/FAHU, Others
Description [Pls. indicate complete specifications : Sizes, Dimensions Availability
Item Brand Code (Length, Width, Height), Colors, etc.] Qty Units Date Needed Status

Requested By: Approved By:

Project Engineer Department Head


NET PACIFIC INC.

F-PL-OFFICE-013

ISSUED: SEPT 10

REVISED:01

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