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Electrical Related Equipment Requisition Form
Developed by Electrical Maintenance Committee, Malda College
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* Indicates required question
Requisition request by ( Name of the Teachers/ Staff)
*
Your answer
Requisition request by ( Employee ID)
*
Your answer
Requisition Date
*
MM
/
DD
/
YYYY
Location Details where equipment is required
*
Department
Office
Class Room
Common Place
Laboratory
Library
Hostel
Toilet
Other:
Required
Mention 1st Room No where equipment is required ( Write only one Room number)
*
Your answer
Mention 2nd Room No if required
Your answer
Select the equipment required
*
1
2
3
5
10
LED BULB
LED TUBE
CELLING FAN
1
2
3
5
10
LED BULB
LED TUBE
CELLING FAN
Remarks if any
Your answer
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