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PEJABAT SETIAUSAHA KERAJAAN PAHANG
BORANG PERMOHONAN PERALATAN ICT |
BORANG E
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(A). Maklumat Pemohon
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Nama |
: |
________________________________________________________________ |
Kad Pengenalan |
: |
________________________________________________________________ |
Jawatan |
: |
________________________________________________________________ |
Gred |
: |
________________________________________________________________ |
Bahagian/Unit |
: |
________________________________________________________________ |
Emel |
: |
________________________________ |
No.Telefon |
: |
__________________ |
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(B). Maklumat Jabatan
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Nama Jabatan |
: |
_____________________________________________________________ |
No Telefon Jabatan |
: |
_____________________________________________________________ |
No.Faks |
: |
_____________________________________________________________ |
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(C). Maklumat Peralatan ICT
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PERALATAN ICT
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TUJUAN
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JUMLAH (UNIT)
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PERSONAL COMPUTER |
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NOTEBOOK |
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PRINTER BLACK & WHITE (HEAVY DUTY) |
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LCD PROJECTOR |
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NOTEBOOK |
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PERSONAL COMPUTER |
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PRINTER BLACK & WHITE (HEAVY DUTY) |
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PRINTER BLACK & WHITE (NETWORK) |
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PRINTER BLACK & WHITE (PERSONAL) |
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PRINTER COLOR |
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SCANNER |
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SCANNER (AUTOFEED) |
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LCD PROJECTOR |
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NOTEBOOK |
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PERSONAL COMPUTER |
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PRINTER BLACK & WHITE (HEAVY DUTY) |
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PRINTER BLACK & WHITE (NETWORK) |
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PRINTER BLACK & WHITE (PERSONAL) |
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PRINTER COLOR |
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SCANNER |
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SCANNER (AUTOFEED) |
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PRINTER( SLIP PRINTER) |
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LCD PROJECTOR |
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NOTEBOOK |
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PERSONAL COMPUTER |
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PRINTER BLACK & WHITE (HEAVY DUTY) |
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PRINTER BLACK & WHITE (NETWORK) |
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PRINTER 3IN1 (PRINT, SCAN, COPY) |
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PRINTER COLOR |
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SCANNER |
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SCANNER (AUTOFEED) |
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THERMAL PRINTER( SLIP PRINTER) |
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HANDHELD BARCODE SCANNER |
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PRINTER BLACK & WHITE (PERSONAL) |
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LAIN-LAIN |
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(D). Pengesahan Pemohon
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Tandatangan |
: |
_________________________________________ |
Tarikh |
: |
_________________________________________ |
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(E). Kelulusan Ketua Jabatan
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Saya mengesahkan bahawa maklumat yang dinyatakan adalah sah dan benar serta mematuhi Peraturan Am Pengisian Borang Permohonan Peralatan ICT. |
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Tandatangan |
: |
_________________________________________ |
Nama |
: |
_________________________________________ |
Jawatan |
: |
_________________________________________ |
Tarikh |
: |
_________________________________________ |
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Cetakan Sistem Permohonan Peralatan ICT Pejabat Setiausaha Kerajaan Pahang 2017 |