JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Furniture & service related Request
(2024-25)
Requisition form for furniture items and services related to it
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of the Official
*
Your answer
Designation of the Official
*
Your answer
Section/Unit (if applicable pls mention)
Your answer
Building
*
Shastri Bhawan
National Media Centre
Room No.
*
Your answer
E-mail ID
*
Your answer
Almirah
1
2
3
4
5
Steel (Small)
Steel (Big)
Wooden (Small)
Wooden (Big)
1
2
3
4
5
Steel (Small)
Steel (Big)
Wooden (Small)
Wooden (Big)
Clear selection
Book Shelf
1
2
3
4
5
6
Steel
Wooden
1
2
3
4
5
6
Steel
Wooden
Clear selection
File Cabinet
2 Partition
3 Partition
4 Partition
Back Rest Cushion
1
2
3
4
5
6
Clear selection
Chairs
1
2
3
4
5
6
Executive (High Back with neck support)
Revolving (Medium Back without neck support)
Visitors
1
2
3
4
5
6
Executive (High Back with neck support)
Revolving (Medium Back without neck support)
Visitors
Clear selection
Cupboard
1
2
3
4
5
Clear selection
Curtain Blinds
1
2
3
4
5
Clear selection
Drawer
1
2
3
4
5
Clear selection
File Cabinet
1
2
3
4
5
Clear selection
Mat
1
2
3
4
5
Door Mats
Floor Mats
1
2
3
4
5
Door Mats
Floor Mats
Clear selection
Mirror
1
2
3
Clear selection
Wooden Partition
1
2
3
4
5
Clear selection
Sofa Set
2+1
2+2
3+1
3+1+1
Any other (pls mention at the end)
Leather Upholstery
Fabric Upholstery
2+1
2+2
3+1
3+1+1
Any other (pls mention at the end)
Leather Upholstery
Fabric Upholstery
Centre Table
1
2
3
4
5
Clear selection
Side Stool
1
2
3
4
5
Clear selection
Table
1
2
3
4
5
Centre Table
Officer Table
1
2
3
4
5
Centre Table
Officer Table
Clear selection
Table Glass
1
2
3
4
5
Clear selection
Table Top Elevator
1
2
3
4
5
Clear selection
Wooden Work Station
1
2
3
4
5
With Drawer
Without Drawer
1
2
3
4
5
With Drawer
Without Drawer
Clear selection
White Board
1
2
3
4
5
Clear selection
Service/Dry-cleaning/Repair of furniture related request, if any, please provide brief description
Your answer
Any other specific request for item(s) not mentioned above, if any, please provide brief description
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
