Equipment Damage/Loss Report

1
Student/Staff Name* This field is required.
First Name
Last Name
2
Department
Please Select
Please Select
Primary Teacher
Secondary Teacher
Non-teaching Staff
Primary Student
Secondary Student
3
School Email* This field is required.
somestaff@vsa.edu.hk or psxxxxxxxx@student.vsa.edu.hk
4
Damaged Equipment Information* This field is required.
5
Statement of the circumstance of damage/loss by holder of the equipment(where,when & how)* This field is required.
6
Attach the Photos of Damaged Equipment (if any)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
Signature of Equipment Holder* This field is required.
Clear
Should be Empty: