Borang Pinjaman Peralatan IT

IT Equipment Loan Request Form

Sila lengkapkan borang ini untuk memohon pinjaman peralatan IT.
Please complete this form to request IT equipment.

Segala maklumat yang diberikan adalah sulit dan hanya akan digunakan untuk tujuan rasmi.
All information provided is confidential and will be used strictly for official purposes only.

V2-Pinjaman Peralatan

Applicant Information

Name

Applicant Type

Staff

Student

OthersOthers

Phone

Equipment Information

Equipment Type

Equipment Name

Equipment Information (if borrowing multiple items)

Equipment Type 2

Equipment Name 2

Equipment Type 3

Equipment Name 3

Equipment Type 4

Equipment Name 4

Supporting Accessories (if required)

HDMI Cable ( 5m)

quantity

HDMI Cable ( 10m)

quantity

Portable Projection Screen

quantity

Power Extension (4-Gang)

quantity

Borrowing Period

Start Date

Return Date

Purpose of Borrowing

Declaration

I hereby acknowledge that I am fully responsible for the equipment borrowed and agree to return it in good and working condition.

If you are human, leave this field blank.

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Faculty of Civil Engineering

Borang Pinjaman Peralatan IT

Applicant Information

Equipment Information

Equipment Information (if borrowing multiple items)

Supporting Accessories (if required)

Borrowing Period

Declaration

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