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ELOM Kit Request
This request sheet is for organisations who want to loan out the ELOM kit and tablet. Please ensure all information provided is correct.
* Required
Name & Surname
*
Your answer
Organisation
*
Your answer
Number of kits needed
Your answer
Date kit out
*
MM
/
DD
/
YYYY
Date Kit In
*
MM
/
DD
/
YYYY
I acknowledge that the kit/s and tablet/s received are in good working condition and that I am responsible for replacing any lost or damaged items (Full cost of kit and tablet set: R3000).
*
Acknowledged
Required
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