KOMPUTER
No.Dokumen
Berlaku Sejak
Revisi
ATW/SARPRAS/PUSKOM.01
1 Juni 2012
00
FORMULIR
PERBAIKAN HARDWARE/SOFTWARE KOMPUTER
: _____________________________________
Spesifikasi/hardware
: __________________________________________
__________________________________________
__________________________________________
__________________________________________
Keluhan kerusakan
: __________________________________________
__________________________________________
__________________________________________
Sukoharjo, __________________
Yang Menerima,
Yang Menyerahkan,
( ____________________ )
( _____________________ )