RELIC TEMPORARY REMOVAL LOG (CLEANING / RITUAL) Form Code: HSW-F10
HSWAGATA BUDDHA TOOTH RELICS PRESERVATION MUSEUM
RELIC TEMPORARY REMOVAL LOG (CLEANING / RITUAL)
Form Code: HSW-F10
Relic ID Code: ____________________________
Relic Name / Title: ______________________
1. REMOVAL DETAILS
1.1 Date Removed: ____ / ____ / ______
1.2 Time Removed: __________
1.3 Reason for Removal:
[ ] Cleaning / maintenance
[ ] Ritual / pūjā
[ ] Education session
[ ] Photography / documentation
[ ] Other: _________________________
1.4 Temporary Location During Removal:
_______________________________________
1.5 Person Responsible During Removal:
Name: _________________________________
Role: _________________________________
2. RETURN DETAILS
2.1 Date Returned: ____ / ____ / ______
2.2 Time Returned: __________
2.3 Returned To Location:
_______________________________________
2.4 Returned By:
Name: _________________________________
Signature: ____________________________
3. CONDITION CHECK ON RETURN
3.1 Condition Compared to Before:
[ ] Same
[ ] Changed (give details below)
3.2 Details of Any Damage or Change:
_______________________________________
_______________________________________
4. CONFIRMATION
4.1 Checked By (name): ______________________
4.2 Signature: ___________ Date: ____/____/____