IT Peripherals Request Form

This form is for the request for any IT peripherals like Printers, Bar-code scanners, Thermal printers, Keyboard, Mouse etc.
Once the form is filled, a copy of it is sent to your HOD for approval. Once he/she approves your request we can process any It further.
After the HOD approval it can take up to 7-10 working days to fulfil your request based on device availability.
For any New Purchase (Procurement): Please note that your department will be requested to fill up an Indent & raise it in the name of IT Central Stores. The Procurement can take up to 7-10 working days after we receive the Indent.

Task Title *

Email *

Name *

Your First name and Last name

Mobile *

Department Name *

HOD Name *

HOD Email *

Devices Needed - 1 *

Quantity for Device 1 *

Devices Needed - 2

Quantity for Device 2

Devices Needed - 3

Quantity for Device 3

Please explain in brief why do you need the device? *

If your requirement is for a Printer, how may pages are expected to be printed per day?

Location *

If you have an existing device that needs to be replaced, Please specify the problem

Please specify any special requirements, if you have any

Specify the date by which you need this device? *

Submit