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軟創學程教學器材借用表
請同學在借用物品前先派一位負責人填寫此表，若財務損壞遺失由負責人承擔賠償。
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* Indicates required question
借用者姓名(僅填寫負責人即可)
*
Your answer
借用者系級(僅填寫負責人即可)
*
Choose
軟創一年級
軟創二年級
軟創三年級
軟創四年級
軟創學程教師
借用者學號
*
Your answer
借用者手機號碼
*
Your answer
借用物品項目為
*
筆記型電腦(一位只能借一台)
延長線
Required
借用原因
Your answer
借用物品歸還日期為(物品借用以兩天內為限如有特殊原因請另告知系辦)
*
MM
/
DD
/
YYYY
你是否明白若借用物品損壞或遺失須由借用人賠償損失費用?
*
我明白了
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