Form Pemasangan Jaringan

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FORMULIR PERMINTAAN PEMASANGAN JARINGAN KOMPUTER

Network Instalation Request Form

Lampiran 1 : IT Dept. Lampiran 2 : Requesting Dept.

No. : _______________ Tanggal : __________________ Jam : ______________________


Number Date Time

Nama Pengguna / Bagian : ___________________________________________________________________________________________________


User name / Job title

Nama Departemen : ___________________________________________________________________________________________________


Department. name

Lokasi : ___________________________________________________________________________________________________
Location

Alasan / Kegunaan Pemasangan Jaringan Komputer


Reason forNetwork Instalation

Nama & tanda tangan pemohon Menyetujui Supervisor Nama & tanda tangan penerima (IT)
Request by / Signature Approved by / Signature Received by (IT) / Signature

Tanggal / Jam : Tanggal / Jam : Tanggal / Jam :


Date / Time Date / Time Date / Time
Keterangan selesai / implementasi
Problem Solving / implementation

Nama & tanda tangan pemohon (telah dikerjakan / implementasi) Nama & tanda tangan yg mengerjakan (IT)
Request by (was done) / Signature Was done by / Signature (IT)

Tanggal / Jam : Tanggal / Jam :


Date / Time Date / Time

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