IT Service Request
**Hardware & Software Breakdown / New Request
Division
*
F&B OUTLETS
RETAIL SHOPS
DOME HQ
MELIUM HQ
Outlet
*
DOME GKL
DOME INTERMARK
DOME KLCC
DOME BINTANG
DOME GARDENS
DOME BSC
DOME IKANO
DOME CURVE
DOME SUBANG
DOME MITSUI
DOME GPO
DOME JPO
DOME QUEENSBAY
DOME GURNEY
DOME GLENEAGLES MEDINI
DOME LALAPORT
DOME BUKIT JALIL PAVILION
DOME IOI CITY MALL
DOME AMAN JAYA
DOME KPJ
Shop
*
ADLV IOI City Mall
ADLV Seibu TRX
APC Seibu TRX
Aigner KLCC
Aigner Pavilion
Aigner IOI City Mall
Alo TRX
Boggi Milano Pavilion
Boggi Milano TRX
Elisabetta Franchi Pavilion
Givenchy Pavilion
Givenchy TRX
Hackett Pavilion
Hackett IOI City Mall
Hackett Seibu TRX
M Store Pavilion
M Store Lab LaLaport
M Store Lab Seibu TRX
Max Mara Gardens
Max Mara Pavilion
MCM Gardens
MCM KLCC
MCM Pavilion
MCM TRX
Piquadro IOI City Mall
Piquadro TRX
Roger Vivier Pavilion
Weekend Max Mara Pavilion
Tod's Pavilion
Aigner GHPO
Aigner JPO
Aigner Mitsui
Hackett JPO
Hackett Mitsui
Melium Outlet GHPO
Sensatia IOI City Mall
Sensatia TRX
Melium Dept
*
ITOM
HR
Account
A&P Marketing
Shipping
Operation
Project
Loyalty
Management
Stock Controller
VM Department
G.Admin
Dome Dept
*
ITOM
HR
A&P Marketing
Warehouse
Central Kitchen
QA
Maintenance
Operation
Management
Training
Full Name
First Name
Last Name
Contact Number
E-mail
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Shop Issue Category
Computer
Email
Network
Phone
CCTV
Door Access
Wifi
Cashier POS
Waiter POS
Takeaway printer sticker
Bar/Kitchen Printer
Office Printer
Bill Printer
Proxy Reader
Fingerprint Reader
UPS
Music
Faceprint machine
CCTV Recording Request
TMS Issue
Grab Device
Food Panda Device
Other
Recording Date From
*
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Day
-
Month
Year
Date
1
2
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4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Recording Date To
*
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
CCTV Channel
Incident
HQ Issue Category
Computer
Email
Network
Phone
CCTV
Door Access
UPS
Other
Biometric
Music
POS
Printer
Other
Please specify
*
Insert File or
Browse Files
Cancel
of
Take Photo
Signature
Priority
*
1
2
3
4
5
Very Low
Very High
1 is Very Low, 5 is Very High
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Action Date
-
Day
-
Month
Year
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Action Taken By
*
IT Personnel Name
Action Photo
Action File
Browse Files
Cancel
of
Action Desc
*
Job Status
*
DONE
KIV
IT Personnel Signature
Submit
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