lignou � THE PEOPLE'S UNIVERSI ��I�� � � INDIRA GANDHI NIONAL OPEN UNIVERSI � �. ·� � -- 110 068 MAIDAN GARHI, NEW DELHI- 110 068 .............................. fi � � I � ffi MATERIAL GATE PASS · ECURI DEPARTMENT � fi � I Returnable . . . .... ....... ... . .... by ..................... . Non-Returnable (Date) �/Date . ... ...... ..... . ..... ........ . .... ............. . ����� � l � l ��� � ��� � � � � � �, Mr./Mrs./Miss _ esignation Division/School/Company is hereby authorised to take followin g stores/ Equipment out of the university campus/building permanently/retunable to � � �- �¥� S.No. Name of Stores/Stock the Item Book No. 1 2 3 1. 2. 3. 4. 5. 6. 7. 8. � � � - q fi Name and Signature of individual/ Representative of Company � · �� � � ��. �� Make and Reason Expected date of the Model No. item being return back 4 5 6 ��) (Security Officer) - q � � Quantity Remarks 7 8 � Authorised Sign ato Name and desi g nation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � � Signature of the Security Supeisor in Full in Block Leers with office seal W � � I ST RIKE OUT WHICHEVER IS NOT APPLICABLE / School/Division