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peraturan peminjaman peralatan ict - Jabatan Pengajian Tinggi ...

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BORANG PERMOHONAN PINJAMAN PERALATAN ICT<br />

(BORANG A)<br />

<strong>Jabatan</strong> <strong>Pengajian</strong> <strong>Tinggi</strong><br />

Kementerian <strong>Pengajian</strong> <strong>Tinggi</strong> Malaysia<br />

Butiran Permohonan<br />

Nama Pemohon :____________________________________<br />

Bahagian :__________________________________________<br />

No. Tel :___________________E-mel :___________________<br />

Tujuan Pinjaman :____________________________________<br />

Nama Mesyuarat :____________________________________<br />

Untuk Kegunaan BKP<br />

Tarikh Kelulusan :______________<br />

Tarikh Makluman : _____________<br />

Medium Makluman : ____________<br />

Status : ( ) Selesai<br />

( ) Batal<br />

( ) Lain-lain ____________<br />

BIL<br />

PERALATAN<br />

TARIKH<br />

PINJAM<br />

TARIKH<br />

PULANG<br />

KUANTITI<br />

STATUS<br />

BILANGAN<br />

DILULUSKAN<br />

Tandatangan Pemohon,<br />

Tandatangan Pegawai Pinjaman,<br />

____________________<br />

____________________<br />

Nama : Nama :<br />

Tarikh : Tarikh :

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