[Form for Service XYZ]

Name of the company
Name of the caseworker
Name of the applicant
Applicant's details
Date (for application, document etc.)
Pick-up date (for application, document etc.)
Pick-up type  Picked up by Gio Legal Courier
 Sent by post
 Drop-in
to our office
Return date (for application, document etc.)
Further comments
I agree to Gio Legal Services' Terms and Conditions.