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.