08 IT Equepment Lending Form

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IT Equipment Lending INTERNAL

Form [IT Department]

1. General Information
Name: Nilawati Email: [email protected]

Position: HR ASST MANAGER Office Location: Medan Plant

Department: Hatchery From (lend period): 12-Jun-24

Purpose: Laptop Broken To (lend period): 07-Jul-24

2. Item Hardware Request


Asset Brand Remarks

Laptop Toshiba Satellite M840 SN: XC093120C HOSTNAME: ANLBNHC002

Adaptor Charger Lenovo Black

Choose an item. Click or tap here to enter text. Click or tap here to enter text.

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3. Item Software Request (only applicable for computer)


Software Type / Version Remarks

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This document is for internal use only in Regal Springs Indonesia. IT Equipment Lending Form v1.0
Page 1 of 2
4. Additional Information (if any)
Pergantian Sementara laptop Lenovo V330-14IKB disebabkan rusak

5. Item Picture (if any)

6. Approval
Role: IT Representative Employee Employee Head Dept. HR

Digitally signed
by Taslim
Sign Date:
Here: 2024.06.12
12:12:12
+07'00'

Name: Taslim Nilawati Zainul Anshory Wahyu Andrian

Date: 12-Jun-24 12-Jun-24 Click or tap to enter a date. Click or tap to enter a date.

This document is for internal use only in Regal Springs Indonesia. IT Equipment Lending Form v1.0
Page 2 of 2

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