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SayPro Delivery Confirmation Form Signed by community representatives upon receiving supplies
SayPro is a Global Solutions Provider working with Individuals, Governments, Corporate Businesses, Municipalities, International Institutions. SayPro works across various Industries, Sectors providing wide range of solutions.
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Here is a detailed SayPro Delivery Confirmation Form template, to be signed by community representatives upon receiving supplies, in accordance with SayPro Monthly Resource Distribution procedures.
SayPro Delivery Confirmation Form
Program Reference: SayPro Monthly [Month] SCDR-[Number]
Campaign Name: SayPro Monthly Resource Distribution
Managed By: SayPro Community Development Office
Initiative Under: SayPro Development Royalty
1. Distribution Details
| Batch Number | [e.g., SCDR-MAY23-04] |
|---|---|
| Date of Delivery | [DD/MM/YYYY] |
| Time of Delivery | [HH:MM] |
| Delivery Location | [Community Name, Region Code] |
| GPS Coordinates | [Auto-captured or entered] |
| Delivery Team ID | [Field Team Identifier] |
2. Supplies Received
| Item Description | Unit Type | Quantity Received | Remarks (if any) |
|---|---|---|---|
| [e.g., Rice (10kg)] | Bag | [e.g., 100] | [e.g., Good condition] |
| [e.g., Hygiene Packs] | Pack | [e.g., 150] | [e.g., 2 damaged] |
| [e.g., First Aid Kits] | Kit | [e.g., 75] | [e.g., All sealed properly] |
✅ Note: Attach photos of delivered items (optional but recommended)
3. Community Representative Confirmation
I, the undersigned, confirm receipt of the above-listed supplies from SayPro under the SayPro Monthly Resource Distribution program. I verify that the items arrived in the condition stated and are intended for distribution to the beneficiaries of the [Community Name].
| Full Name | |
|---|---|
| Position/Role in Community | [e.g., Community Chairperson] |
| Phone Number | [e.g., 072 XXX XXXX] |
| ID/Passport Number | [For record purposes] |
| Signature | _____________________________ |
| Date | [DD/MM/YYYY] |
4. SayPro Delivery Team Confirmation
I, the undersigned, certify that the above-listed supplies were delivered to the community as part of the SayPro Monthly Resource Distribution effort and that the information provided here is accurate to the best of my knowledge.
| Field Officer Name | |
|---|---|
| Team ID | [e.g., TEAM-04-WC] |
| Signature | _____________________________ |
| Date | [DD/MM/YYYY] |
5. Additional Notes / Comments (Optional)
[Include any observations about the delivery site, concerns raised, or feedback from the community.]
6. Attachments
- GPS screenshot or coordinates confirmation
- Photo of delivered goods
- Copy of community leader ID (if required by protocol)
Submit this form via the SayPro Digital Logistics Portal immediately after delivery or upload within 12 hours if offline.
Would you like this form as a fillable PDF, Word document, or in Google Form format for digital use by field teams?
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