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BORANG PINJAMAN PERALATAN
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MAKLUMAT PEMOHON
Nama Pemohon
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Nombor Kad Pelajar
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Sesi
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Kelas
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Tujuan Pinjaman
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SENARAI PERALATAN YANG DIPINJAM
Contactor
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Thermal Overload Relay (O/L)
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Timer Delay Relay (TDR)
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Miniature Circuit Breaker 6A (MCB)
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Forward Reverse Push Button Switch with Casing (PB)
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Pilot Lamp with Casing (PL)
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PENGAKUAN PEMOHON
Saya dengan ini mengambil dan meminjam peralatan / komponen ini sepanjang semester dan akan memulangkan semula peralatan / komponen ini dalam keadaan baik.

Adalah menjadi tanggungjawab saya bagi menggantikan peralatan / komponen tersebut sekiranya berlaku kerosakan pada peralatan / komponen yang dipinjam.
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Nama Penuh Pemohon
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No. Kad Pelajar
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