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FA01.6 - Loan of Equipment
FA01.6 - Loan of Equipment
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Loan of Equipment
Version FA01.6 - 10.06.2022
SHOULD YOU HAVE ANY ENQUIRIES PLEASE EMAIL colm.odonnell@mtu.ie
Name of Borrower
*
Borrower's Email
*
School / Dept / Centre / Office
*
This is your home department, office, or unit.
Lab / Room / Office Number
*
This is the room number where the item is normally located.
Location of Equipment on Loan
*
If this is your house, please write 'Home' Otherwise include the address
Loan Period From (This can be today's date)
*
Loans can be issued for a maximum period of 24 months.
Loan Period To (This can be up to 2 years from the date entered above)
*
Have you changed your laptop since last submitting your loan of equipment form?
*
Please choose Yes or No
>
Yes
No
Please enter details of what was done with previous laptop
*
Please confirm that you have not changed your laptop since your last loan of equipment form submission
*
Confirm
Terms & Conditions
*
Terms of Loan are available here: http://finance.mtu.ie/loan-of-equipment
I accept the terms of the loan
Email Address of Head of Dept/Budget Holder/Line Manager (You cannot enter your own Email Address)
*
In the case of a Department, School or Research Centre this is usually the Technical Staff.
For other areas it is usually the line manager unless there is a designated person .
Bar Code Reference 1 / Asset Tag No. 1
*
Serial No / Service Tag No. 1
Description of Equipment 1
*
Upload Picture 1 (Optional)
Bar Code Reference 2 / Asset Tag No. 2
Serial No / Service Tag 2
Description of Equipment 2
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