機械系設備維修申請單
維修申請會於3日內回覆處理情形
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申請日期: *
MM
/
DD
/
YYYY
申請實驗室: *
實驗室負責老師: *
設備名稱: *
廠牌/型號: *
財產編號: *
取得日期: *
MM
/
DD
/
YYYY
故障原因: *
連絡人手機: *
連絡人e-mail: *
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