JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
e-Aduan ICT Online Form
Membantu pengadu menyampaikan makluman kerosakan peralatan ICT dan insfrastruktur berkaitan.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Pusat Latihan Teknologi Tinggi (ADTEC) Jerantut - Nurture with Nature
1. Sila Tulis Nama Anda / Pengadu
*
Your answer
2. Unit Pengadu
*
Choose
BKP
BPSM
BKKL
BPPA
BPPL
Pembuatan
NDT
Polimer
Kimpalan
IPD
Lain-lain
3a. Jenis peralatan / aset / aset bernilai rendah / bahan guna habis
*
Choose
aset - komputer
aset - pencetak
*aset bernilai rendah (abr) / bahan guna habis (bgh)
*perisian - MS Office, OS Windows dll
*system/network dll
*lain-lain
3b. Jika anda menjawab pilihan *"abr/bgh/perisian/system/network/lain-lain", sila nyatakan item/peralatan yang rosak dengan terperinci.
Your answer
4. Nyatakan no.siri pendaftaran aset dan no.chassis
*
Your answer
5. Tarikh kerosakan
*
MM
/
DD
/
YYYY
6. Nyatakan maklumat kerosakan. *Contoh : tidak boleh ON, lampu berkelip, tiada imej, tidak keluar kertas dll.
*
Your answer
7. Lokasi Kerosakan / Aduan
*
Your answer
8. Nyatakan contact no. anda
*
Your answer
Terima kasih kerana memberikan aduan. Pihak kami akan menghubungi anda.
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
