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FACILITY USAGE OF LOCATION & EQUIPMENT FORM
GUIDELINE :
1. THIS FORM MUST SUBMITTED TO ADMIN UNIT AT LEAST 5 WORKING DAYS.
2. PLEASE ATTACH SUPPORTIVE DOCUMENT (INVITATION/AGENDA/EMAIL/PROPOSAL/BUDGET)
3. REQUESTER IS RESPONSIBLE TO ARRANGE THE PLACE AND OTHER EQUIPMENT FOR THIS PROGRAM.
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* Indicates required question
Email
*
Your email
NAME :
*
Your answer
UNIT :
*
Choose
ACE
ADMINISTRATION & FACILITIES MANAGEMENT
ACADEMIC SERVICES
CAMPUS LIFESTYLE
DEAN OFFICE
ELECTRICAL
HSE & SECURITY
INDUSTRIAL LINGKAGES
INTERNATIONAL PARTNERSHIP
IT
LIBRARY
MECHANICAL
MeSRA
MANUFACTURING
POSTGRADUATE
PROCUREMENT
PMTC
QUALITY ASSURANCE
RESEARCH & INNOVATION
STUDENTS DEVELOPMENT
TECHNICAL FOUNDATION
TECHNOPUTRA
WORKSHOP
TELEPHONE :
*
Your answer
EVENT / PURPOSE :
*
Your answer
DATE & TIME FROM :
*
MM
/
DD
/
YYYY
Time
:
AM
PM
DATE & TIME TO :
*
MM
/
DD
/
YYYY
Time
:
AM
PM
PARTICIPANTS :
*
Your answer
VENUE :
*
(MPH, DEWAN KULIAH A, DEWAN KULIAH B, DEWAN KULIAH C, COLOSSEUM, STAFF CAFE, LOBBY, CLASS ROOM & OTHERS)
Your answer
EQUIPMENT :
*
(BANQUET TABLE, BANQUET CHAIR PLASTIC CHAIR, ROUND TABLE, BLUE DESK, WITH BOARD, SOFA & OTHERS)
Your answer
MAINTENANCE & IT EQUIPMENT :
*
PA SYSTEM, MICROPHONE, LCD PROJECTOR & SCREEN, PA SYSTEM POTABLE (UNDER SRC), EXTENSION WIRE & OTHERS)
Your answer
NOTE :
*
Your answer
A copy of your responses will be emailed to the address you provided.
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