Borrower Group

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Date:___________________________ Date:___________________________

Qualification:_____________________ Qualification:_____________________

Group No;________ Group No;________

1.____________________________________ 1.____________________________________

2.____________________________________ 2.____________________________________

3.____________________________________ 3.____________________________________

4.____________________________________ 4.____________________________________

5.____________________________________ 5.____________________________________

Borrowed Items: Borrowed Items:

Qty Item/ Description Qty Item/ Description

Received:__________________________________ Received:__________________________________

Issued by:___________________________________ Issued by:___________________________________

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