BORANG PERMOHONAN PERALATAN ICT
(A). Maklumat Pemohon
| Nama | : | ________________________________________________________________ | |||
| Kad Pengenalan | : | ________________________________________________________________ | |||
| Jawatan | : | ________________________________________________________________ | |||
| Gred | : | ________________________________________________________________ | |||
| Bahagian/Unit | : | ________________________________________________________________ | |||
| Emel | : | ________________________________ | No.Telefon | : | __________________ |
(B). Maklumat Jabatan
| Nama Jabatan | : | _____________________________________________________________ |
| No Telefon Jabatan | : | _____________________________________________________________ |
| No.Faks | : | _____________________________________________________________ |
(C). Maklumat Peralatan ICT
|
PERALATAN ICT
|
TUJUAN
|
JUMLAH (UNIT)
|
| PERSONAL COMPUTER | ||
| NOTEBOOK | ||
| PRINTER BLACK & WHITE (HEAVY DUTY) | ||
| LCD PROJECTOR | ||
| NOTEBOOK | ||
| PERSONAL COMPUTER | ||
| PRINTER BLACK & WHITE (HEAVY DUTY) | ||
| PRINTER BLACK & WHITE (NETWORK) | ||
| PRINTER BLACK & WHITE (PERSONAL) | ||
| PRINTER COLOR | ||
| SCANNER | ||
| SCANNER (AUTOFEED) | ||
| LCD PROJECTOR | ||
| NOTEBOOK | ||
| PERSONAL COMPUTER | ||
| PRINTER BLACK & WHITE (HEAVY DUTY) | ||
| PRINTER BLACK & WHITE (NETWORK) | ||
| PRINTER BLACK & WHITE (PERSONAL) | ||
| PRINTER COLOR | ||
| SCANNER | ||
| SCANNER (AUTOFEED) | ||
| PRINTER( SLIP PRINTER) | ||
| LCD PROJECTOR | ||
| NOTEBOOK | ||
| PERSONAL COMPUTER | ||
| PRINTER BLACK & WHITE (HEAVY DUTY) | ||
| PRINTER BLACK & WHITE (NETWORK) | ||
| PRINTER 3IN1 (PRINT, SCAN, COPY) | ||
| PRINTER COLOR | ||
| SCANNER | ||
| SCANNER (AUTOFEED) | ||
| THERMAL PRINTER( SLIP PRINTER) | ||
| HANDHELD BARCODE SCANNER | ||
| PRINTER BLACK & WHITE (PERSONAL) | ||
| KOMPUTER RIBA (LAPTOP) | ||
| DESKTOP COMPUTER STANDARD | ||
| KOMPUTER DESKTOP (HIGH SPEC) | ||
| PRINTER BLACK & WHITE (HEAVY DUTY) A4 | ||
| PRINTER BLACK & WHITE (NETWORK) | ||
| PRINTER BLACK & WHITE (PERSONAL) | ||
| PRINTER COLOR (NETWORK) | ||
| SCANNER | ||
| LCD PROJECTOR HEAVY DUTY | ||
| LCD PROJECTOR PORTABLE | ||
| LAIN-LAIN |
(D). Pengesahan Pemohon
| Tandatangan | : | _________________________________________ |
| Tarikh | : | _________________________________________ |
(E). Kelulusan Ketua Jabatan
| Saya mengesahkan bahawa maklumat yang dinyatakan adalah sah dan benar serta mematuhi Peraturan Am Pengisian Borang Permohonan Peralatan ICT. | ||
| Tandatangan | : | _________________________________________ |
| Nama | : | _________________________________________ |
| Jawatan | : | _________________________________________ |
| Tarikh | : | _________________________________________ |