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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.
Name & Surname *
Your answer
Organisation *
Your answer
Authorised by
Your answer
Date to be collected *
MM
/
DD
/
YYYY
Date to be returned *
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). *
Required
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