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Equipment Loan from Office of the Deputy Dean (Postgraduate), Kulliyyah of Medicine
IMPORTANT NOTES
1. This form should be submitted three (3) days before the event.
2. The equipment/items must be returned one (1) day after the date of the event.
3. Three (3) days maximum for use
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Designation
*
Your answer
Office/Department/ Unit
*
Office of Deputy Dean (Academic & Internationalisation)
Office Of Deputy Dean (Student Development And Community Engagement)
Anaesthesiology and Intensive Care
Basic Medical Sciences
Community Medicine
Emergency Medicine
Family Medicine
Internal Medicine
Pathology & Laboratory Medicine
Psychiatry
Paediatrics
Ophthalmology
Obstetrics & Gynaecology
Orthopaedics, Traumatology & Rehabilitation
Otolaryngology-Head & Neck Surgery
Radiology
Surgery
Other
Required
Handphone Number
*
Your answer
Staff / Matric No
*
Your answer
Purpose For
*
Your answer
ICT Equipment
Digital Voice Recorder
Jabra Speak 410 Cordless Telephone
Logitech USB Webcam
Pointer
TV with stand
HDMI splitter cable
Laptop
Projector
Clear selection
Stationery
Acrylic Card Holder Name (S)
Acrylic Card Holder Name (M)
Acrylic Card Holder Name (L)
Comb Binder Binding Machine
Flipboard Whiteboard
ID Puncher
Heavy Duty Puncher
Heavy Duty Laminator Machine
Signage Stand
Tripod T Stand Bunting Banner
Wire Extension
Shredder Machine (S)
Shredder Machine (M)
Toyogo Box (S)
Toyogo Box (M)
Toyogo Box (L)
Alas meja (bunga)
Alas meja (biru)
Alas meja (merah)
Clear selection
Quantity
Your answer
Date of Request (Collection Date)
*
MM
/
DD
/
YYYY
Programme Date From
*
MM
/
DD
/
YYYY
Programme End Date
*
MM
/
DD
/
YYYY
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