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Annex B - Physical Asset Verification Form Hatire PHCC

The document outlines the physical asset verification process for Cordaid South Sudan under the UNDP-Global Fund SR Asset Management. It includes details on asset identification, conditions, and status, as well as procedures for taking photos, signing confirmations, and uploading data. Specific assets listed include a microscope, a Samsung Galaxy Tab, and a weight scale, with notes on their functional status and required actions if not compliant.

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jumakenyata
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0% found this document useful (0 votes)
24 views6 pages

Annex B - Physical Asset Verification Form Hatire PHCC

The document outlines the physical asset verification process for Cordaid South Sudan under the UNDP-Global Fund SR Asset Management. It includes details on asset identification, conditions, and status, as well as procedures for taking photos, signing confirmations, and uploading data. Specific assets listed include a microscope, a Samsung Galaxy Tab, and a weight scale, with notes on their functional status and required actions if not compliant.

Uploaded by

jumakenyata
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

UNDP-Global Fund SR Asset Management

PHYSICAL ASSET VERIFICATION

Sub-Recipient Cordaid South Sudan

Province/ EES District/County Ikwoto Site Hateri PHCC


State/Region Name
Asset Custodian Juma Kenyata Contact (email [email protected] Signature
address/telephone) 0920604984/0929282174 (confirma
tion of
asset
status
verificati
on)
Asset Details, Conditions and Status
Asset Identification Asset Asset at Asset with Photo
Functiona Correct Correct Comments/ taken?
Asset Description l Location custodian Observatio Asset,
n (Tag Tag &
number serial #.
UNDP Make Model Serial Number Yes No Yes No Yes No visible? Yes No
tag # Physical
status of
asset –
damaged,
dusty,
broken
parts etc
Microscope Star FL ILED 21604    Not 
455nm, Led micr fix kohl- functional, It
FOV 18 complete ANHG1060 light broke
configuration Primo Star 9 3134021732 down.
Samsung Galaxy Tab 34236 Samsung Galaxy R52N81Q1W7Z    The tablet 
Tab A external
screen
1. Take photos of (the asset), Tag, manufacturers serial and model details
2. Scan and upload this form and photos in the asset verification tab in the Asset Management Tool.
3. Asset custodian at ässet location” should sign to confirm the occurenance of the physical verification exercise at their site.
4. Outline action require at site – if not in compliance.
UNDP-Global Fund SR Asset Management
PHYSICAL ASSET VERIFICATION
broken and it
charger get
lost.
Weight Scale 23015    In good 
condition
100000013697 and
Germany 44 functional.

1. Take photos of (the asset), Tag, manufacturers serial and model details
2. Scan and upload this form and photos in the asset verification tab in the Asset Management Tool.
3. Asset custodian at ässet location” should sign to confirm the occurenance of the physical verification exercise at their site.
4. Outline action require at site – if not in compliance.
UNDP-Global Fund SR Asset Management
PHYSICAL ASSET VERIFICATION

1. Take photos of (the asset), Tag, manufacturers serial and model details
2. Scan and upload this form and photos in the asset verification tab in the Asset Management Tool.
3. Asset custodian at ässet location” should sign to confirm the occurenance of the physical verification exercise at their site.
4. Outline action require at site – if not in compliance.
UNDP-Global Fund SR Asset Management
PHYSICAL ASSET VERIFICATION

1. Take photos of (the asset), Tag, manufacturers serial and model details
2. Scan and upload this form and photos in the asset verification tab in the Asset Management Tool.
3. Asset custodian at ässet location” should sign to confirm the occurenance of the physical verification exercise at their site.
4. Outline action require at site – if not in compliance.
UNDP-Global Fund SR Asset Management
PHYSICAL ASSET VERIFICATION

1. Take photos of (the asset), Tag, manufacturers serial and model details
2. Scan and upload this form and photos in the asset verification tab in the Asset Management Tool.
3. Asset custodian at ässet location” should sign to confirm the occurenance of the physical verification exercise at their site.
4. Outline action require at site – if not in compliance.
UNDP-Global Fund SR Asset Management
PHYSICAL ASSET VERIFICATION

Asset Verification Officer Asset verification certified by


Name Name
Title Title

1. Take photos of (the asset), Tag, manufacturers serial and model details
2. Scan and upload this form and photos in the asset verification tab in the Asset Management Tool.
3. Asset custodian at ässet location” should sign to confirm the occurenance of the physical verification exercise at their site.
4. Outline action require at site – if not in compliance.

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