borang laporan kerosakan kenderaan - · pdf filebmi/007/pin-0/2014 arahan: sila lengkapkan...

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BMI/007/Pin-0/2014 Arahan : Sila lengkapkan borang dan lampirkan laporan polis kepada Bahagian Pengurusan Insan. : Borang perlu diserahkan selewat-lewatnya tiga (3) hari selepas kejadian. Nama Pegawai : _______________________________________________________________ No. Pegawai : _______________________________________________________________ Bahagian/Fakulti : _______________________________________________________________ Jenis Kerosakan : Kemalangan/ Kecurian/ Kerosakan / Lain-lain : Nyatakan ___________________________________ Laporan : _____________________________________________________________________________________ ____ ______ __________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ (Sila sertakan lampirkan sekiranya ruang yang disediakan tidak mencukupi) Tandatangan Pegawai Tandatangan Ketua Seksyen Tandatangan Ketua Bahagian Tarikh : Tarikh : Tarikh : Tindakan BMI ________________________________________________________________________________________ ________________________________________________________________________________________ BORANG LAPORAN KEROSAKAN KENDERAAN

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Page 1: BORANG LAPORAN KEROSAKAN KENDERAAN - · PDF fileBMI/007/Pin-0/2014 Arahan: Sila lengkapkan borang dan lampirkan laporan polis kepada Bahagian Pengurusan Insan. : Borang perlu diserahkan

BMI/007/Pin-0/2014

Arahan : Sila lengkapkan borang dan lampirkan laporan polis kepada Bahagian Pengurusan Insan. : Borang perlu diserahkan selewat-lewatnya tiga (3) hari selepas kejadian.

Nama Pegawai : _______________________________________________________________

No. Pegawai : _______________________________________________________________

Bahagian/Fakulti : _______________________________________________________________ Jenis Kerosakan : Kemalangan/ Kecurian/ Kerosakan / Lain-lain : Nyatakan ___________________________________ Laporan : _____________________________________________________________________________________ ____ ______ __________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ (Sila sertakan lampirkan sekiranya ruang yang disediakan tidak mencukupi)

Tandatangan Pegawai

Tandatangan Ketua Seksyen Tandatangan Ketua Bahagian

Tarikh : Tarikh : Tarikh :

Tindakan BMI ________________________________________________________________________________________ ________________________________________________________________________________________

BORANG LAPORAN

KEROSAKAN KENDERAAN