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POLITEKNIK

SULTAN SALAHUDDIN ABDUL AZIZ SHAH


UNIT PEMBANGUNAN INSTRUKSIONAL & MULTIMEDIA

BORANG ADUAN KEROSAKAN PERALATAN MULTIMEDIA

Jabatan/ Bahagian/Unit :
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Lokasi/Blok/Bilik Kerosakan _____________________________________________________________


:

Butiran Kerosakan :_____________________________________________________________

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Aduan Kritikal Aduan Biasa

__________________________ _____________________________
Wakil Senggaraan Jabatan Ketuan Jabatan/Bahagian/Unit
Tandatangan & Cop Tandatangan & Cop

Tarikh : ________________ Tarikh :__________________


POLITEKNIK SULTAN SALAHUDDIN ABDUL AZIZ SHAH

UNIT PEMBANGUNAN INSTRUKSIONAL & MULTIMEDIA

LAPORAN PEMBAIKAN KEROSAKAN PERALATAN MULTIMEDIA

Ulasan Juruteknik Unit Pembangunan Instruksional & Multimedia (UIDM) :

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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Tandatangan & Cop Tarrikh : _________________

Ulasan & Pengesahan Pegawai Unit Pembangunan Instruksional & Multimedia (UIDM) :

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

__________________________
Tandatangan & Cop Tarrikh : _________________

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