IT Equipment Fault Reporting Form

What is the faulty equipment? *
Required
Please provide a brief description of the fault. *
e.g. image is discoloured on projector, cannot adjust volume control on control panel, VGA cable missing, etc
Your answer
When was the fault discovered? *
MM
/
DD
Location of Faulty IT equipment
Provide the block, level, room number and class. e.g. F3-01, H1-02, etc
BLOCK *
LEVEL *
ROOM *
Room not listed
Please indicate the room here if it is not in the list above
Your answer
Details of Person Reporting
I am a *
Required
I am a IT Champion (Applicable for Student)
Full Name *
Your answer
Contact Number *
Your answer
Email
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Ministry of Education. Report Abuse - Terms of Service - Additional Terms