Labdoo Laptop Request Form Rev. 001 Requester Information: ====================== Your Name: NJASE GIRLS SECONDARY SCHOOL Your Email Address: njasegirssecondary@gmail.com Your Organization : NJASE GIRLS SECONDARY SCHOOL Organization Website: NIL You Labdoo account user name: njasegirlssecondary@gmail.com Project title: NJASE COMPUTER LAB Project Site: ============= 1. Project Summary: TO PROVIDE COMPUTER LESSONS TO THE PUPILS 2. Project Location: CHOMA- NJASE GIRLS SECONDARY SCHOOL 3. Preferred language(s): ENGLISH 4. On Site Contact Information (please provide at least one way to contact): 4.1. Name: NJASE GIRLS SECONDARY SCHOOL 4.2. Phone: +260 213220643/ +260 977 686101 4.3. Email: njasegirlssecondary@gmail.com 4.4. Physical address: NJASE GIRLS SECONDARY SCHOOL,P.O BOX 630181, NAMWALA ROAD, CHOMA, 101, ZAMBIA 4.5. GPS coordinates: -16.80542, 26.99702 5. Claimed IT equipement Number of Laptops needed: 50 Number of eBook Reader needed: 50 Others needed (Tablet-PCs etc): NIL 6. Number of students: 925 7. Number of teachers: 51 8. Electricity in the room: 9. Does the room have access to the Internet? [yes / no]: YES 9.1. Is the access via wireless or cable? : YES 10. Conditions about the room where the laptops will be installed: 10.1. Is the room secure? [yes / no + brief explanation]: YES 10.2. Can the room be locked in a way that the supervisors (e.g. teachers) can control access? [yes / no + brief explanation]: YES 10.3. Is the room weather-proof? (e.g. does the room protect the laptops from rain, sand, etc?) [yes / no + brief explanation]: YES ***The solicitation of a Labdoo laptop request implies that, upon receiving the laptops, the recipient agrees with the "Labdoo Laptop Recipient Agreement".