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Borang Aduan Kerosakan / Damage Report Form
Please fill in this form for further inquiry.
Name / Name
*
No Telefon / Telephone No.
*
Emel / Email
*
Unit / Unit
*
Tarikh dan masa / Date & time
*
Kategori Kerosakan / Damage Category
Lokasi Kerosakan / Damage Location
Jenis Aset / Asset Type
No. Aset / Asset Number
Select category
Penghawa dingin / Aircond
Elektrik / Electric
Kerosakan am / General damage
Select asset type
Peralatan Perubatan / Medical Equipment
Penghawa dingin / Air Conditioning
Inventori / Inventory
Lain-lain / Other
Select category
Penghawa dingin / Aircond
Elektrik / Electric
Kerosakan am / General damage
Select asset type
Peralatan Perubatan / Medical Equipment
Penghawa dingin / Air Conditioning
Inventori / Inventory
Lain-lain / Other
Select category
Penghawa dingin / Aircond
Elektrik / Electric
Kerosakan am / General damage
Select asset type
Peralatan Perubatan / Medical Equipment
Penghawa dingin / Air Conditioning
Inventori / Inventory
Lain-lain / Other
Keterangan Aduan / Description of Complaint
*
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