BORANG ADUAN KEROSAKAN PERALATAN ICT
NAMA PELAPOR
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NOMBOR TELEFON
(UNTUK RUJUKAN)
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TARIKH
MM
/
DD
/
YYYY
JENIS PERALATAN YANG ROSAK
(SILA PILIH)
MASALAH YANG DIHADAPI
(NYATAKAN KEROSAKAN)
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LOKASI
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