8/17/2019 Formulir Perpindahan Asset

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FORMULIR PERPINDAHAAN ASSET

PemohonNama : .......................................

NIK : ....................................... Jabatan : .......................................Dept/Unit : .......................................

Kebutuhan AssetPerbaikan Sewa PeminjamanMutasi Hilang Lainlain .................

Golongan AssetK!mputer  Ken"araan #lektr!me"ik $Me"is% Lainlain&urniture #lektr!nik '!!ls ..................

Rinian AssetK!"e (sset : .......................................Nama )arang : ....................................... '*pe/Merk : .......................................Dari Unit/+uang ,%......................................:Untuk Unit/+uang:......................................

 'anggal ,% : .......................................... Sampai: ............................................-aktu/Jam ,% : .......................................... Sampai: ............................................Keterangan : ..........................................

...........................................................................................................

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Pem!!n Diketaui Disetujui

$ % $ % $ % $ % 'an"a tangan 0

Nama JelasKa. Unit Manager 1eneral Manager

Diserakan Diterima Mengetaui

$ % $ % $ % 2ang Men*erakan Pem!!n L!gistik

,% "i isi apabila Kebutuan (sset $Perbaikan Mutasi Sewa 0 Peminjaman%