Equipment Requisition Form

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EQUIPMENT REQUISITION FORM
Please tick the equipment required. Check the equipment for efficacy before issuing it out.
Equipment
Qty.
Equipment
Qty.
Camera (Type:
)
Video tapes
Tripod (Type:
)
Camera Carry Bag
Reflector/s (Type:
)
Light/s Sungun
Extension boards (Nos.
)
Light/s Portakit
XLR cables
Mike (Type:
)
RCA cables
White board
Batteries (Type:
)
Battery charger (Type:
)
AC/DC adaptors (Type:
)
BNC cables
Headphones (Type:
)
Wide conversion lens
Digital Still Camera, Bag, Accessories
Any other equipment / accessories:
1. _________________________________Qty._______________________
2. _________________________________Qty._______________________
3. _________________________________Qty._______________________
4. _________________________________Qty._______________________
5. _________________________________Qty._______________________
Date/s of shooting:________________________________
Duration: From__________to_____________
Returnable on:_________________________________ at _________________
Purpose: ___________________________________________________________________________________
Location/s: _________________________________________________________________________________
___________________________________________________________________________________________
Undertaking by the requestor: I/We shall return the above equipment in good working condition. I/We shall be personally
responsible and compensate for any loss or damage to equipment.
Name/s of the requestor:___________________
Phone number/s of crew members:
Signature of the requestor/ crew:_____________________
Date:____________________
Video Production, 2/e, OUP, India
EQUIPMENT REQUISITION FORM
Please tick the equipment required. Check the equipment for efficacy before issuing it out.
Equipment
Qty.
Equipment
Qty.
Camera (Type:
)
Video tapes
Tripod (Type:
)
Camera Carry Bag
Reflector/s (Type:
)
Light/s Sungun
Extension boards (Nos.
)
Light/s Portakit
XLR cables
Mike (Type:
)
RCA cables
White board
Batteries (Type:
)
Battery charger (Type:
)
AC/DC adaptors (Type:
)
BNC cables
Headphones (Type:
)
Wide conversion lens
Digital Still Camera, Bag, Accessories
Any other equipment / accessories:
1. _________________________________Qty._______________________
2. _________________________________Qty._______________________
3. _________________________________Qty._______________________
4. _________________________________Qty._______________________
5. _________________________________Qty._______________________
Date/s of shooting:________________________________
Duration: From__________to_____________
Returnable on:_________________________________ at _________________
Purpose: ___________________________________________________________________________________
Location/s: _________________________________________________________________________________
___________________________________________________________________________________________
Undertaking by the requestor: I/We shall return the above equipment in good working condition. I/We shall be personally
responsible and compensate for any loss or damage to equipment.
Name/s of the requestor:___________________
Phone number/s of crew members:
Signature of the requestor/ crew:_____________________
Date:____________________
Video Production, 2/e, OUP, India

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