Relocation Form
Company name: SBI CARD
Employee Name: BALLANKI PRASAD
Employee Code / New Joiner 400011768
Department CONSUMER SALES
Designation MANAGER
Email ID of Employee:
[email protected] Contact No. of Employee: 7386962448
At pickup location
Floor No. and Lift-Yes/No
3rd floor lift yes
Is there place to park the truck? If
No What is the distance between
door to vehicle
Address: FLAT NO 302 VALLABHANENI TOWERS
(Goods to be picked up from) PRASADAMPADU VIJAYAWADA 521108
At destination
Floor No. and Lift-Yes/No
GROUND FLOOR
Is there place to park the truck? If
No What is the distance between
door to vehicle
Address:
(Goods to be Delivered at) HARINATHPURAM NELLORE 524003
Tentative Date of Packing and
Loading: 15TH OCT 2024
Remarks if any:
NOTE: Physical survey not available due to Covid19. Please fill the below list. If you are
having any item(s) which is not mentioned in the article then, Please edit and add those in
the same format below.
Flower Pots will not be shifted OR if any damage happens to the Pots or Plant then APML
will not be responsible for any claim.
Article list
Material Status/
Article (Wood/Glass/ Condition Quantity Value
Metal/Plastic)
Sofa set ( _6_ seater in _4_ pieces) WOOD GOOD 1 20000
Center Table
(Wood/Metal/Plastic)
(TOP- Wood/Glass/Marble)
Table (Wood/Metal/Plastic)
(TOP- Wood/Glass/Marble)
Dining Table (Wood/Steel/Plastic) GOOD 1 20000
WOOD
(TOP- Wood/Glass/Marble) GLASS
Dining Chair (Wood/Steel/Plastic) WOOD GOOD 6 4000
Chairs (Wood/Metal/Plastic) PLASTIC GOOD 2 1000
Drum ( ___size)
Almeria/Cupboards
Double bed [with or without box] WOOD GOOD 2 40000
Single bed
Folding Cot
Mattress Single
Mattress Double GOOD 2 15000
Side Table
Temple (we will not shift the
Temple’s of marble)
Shoe rack
Washing machine (semi TOP LOAN GOOD 1 30000
automatic) If there is Revolving AUTOMATI
cylinder/Top Loading- Cylinder C IFB 8KG
must be get locked by the customer
on their own by the concerned
company of washing machine.
Fridge _300_ liter ( _2__ door) GOOD 1 50000
Single/Double
Grinder 1 5000
Water Purifier GOOD 1 20000
Cycle
Gas Stove – (Burners 4) 1 5000
Gas Cylinder (100% empty) 1 1000
Painting / Photo frame 4 2000
Music system
Bar Cabinet
Sideboard
Sewing machine
Printer
Inverter/Battery/Trolley Set
Piano/Guitar
Suit case SMALL 2 2000
(SIZE- Small/Medium/Large)
Air condition (Window or split, SPLIT 2 60000
Dismantling & Assembling –
BYPARTY)
Cooler (Plastic/Metal)
Ceiling fan/ Pedestal fan
LED/ PLASMA T.V. (in inch ) Size in Inches 1 70000
55
Sewing machine
Printer
Vacuum cleaner
Geyser
Microwave/OTG
Computer Desktop(Laptop will not
be shifted)
Mixer & Juicer
Carom Board & Sports item
Carton box for BEDDING
Carton box for CLOTHES 3 20000
Carton box for BOOKS 1 1000
Carton box for CROCKERY
Carton box for UTENSIL
Carton box for TOYS
Carton box for SUITS
Carton box for TOYS
Carton box for
MISCELLANEOUS. ITEMS
Scooter/ motor cycle (Transit Risk Registration Brand/Model 200000
must be covered BY PARTY) Number YAMAHA
_________ MT 15
CAR (Transit Risk must be covered Registration Brand/Model
BY PARTY) Number
16 LTR FUEL SHOULD BE _________
THERE IN TANK
Kindly attach a copy of the CAR and BIKE Insurance Paper
I hereby declare Total value of household goods only as Rupees_________ /-. The correct
breakup of the same shall be provided by me on the day of packing as I shall prepare the
breakup of the same prior the day of packing & loading of my household Goods.
For any questions, I will be happy to answer whatever questions you might have.
