TOOLS REQUISITION FORM
REQUESTOR
Please Select
M074 MOHD IZHAR
M206 NALATHAMBI
M1241 AZIZAN
M2289 MOHD KHAIRUL
M2535 SATHIA
M2761 GUNASEGARAN
M3280 SOLEHHIN
M3253 SIVANESAN
M3403 SHARIL
M3533 AZUAN
M3825 HAFIS
M3862 ISMAIL
M3863 HEGA
M576 MAHADEVAN
M598 PARKKUNAN
M1739 MUHAMMAD DZARUL
M2041 OMZAGANATH
M620 MOGAN
M2767 THEVA
M3309 P. SIVARAJ
M3874 MAGENDRAN
M201 NAGARAJAN
M246 AZIS
M704 ARUMUGAM
M2230 MOHAMAD AZRI
M3620 NAJMI
M3971 FIRDAUS KUMARAN
M178 ISMAIL BIN JUSOH
M3649 AZHAR
M3317 YUNESH KUMAR
M2806 AMBALAKAN
M3547 VEGINESWARAN
M707 RAVICHANDRAN
M3907 APPLASAMY
MM24 LIEW K.C.
MM26 KHAIRULNIZAM
MM51 BANU PRIYA
M1861 NADARAJA
M2037 YEOH C.G.
*WAJIB DIISI
SECTION
Please Select
RETORT
SEAMER
ELECTRICAL
MECHANICAL
BOILER
OFFICE
*WAJIB DIISI
TOOL 1
(PLEASE FILL UP THE INFORMATION ACCORDINGLY)
1. TOOLS DESCRIPTION
*COMPULSORY
DATE REQUESTED
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
*COMPULSORY
QUANTITY
*COMPULSORY
PURPOSE OF REQUEST
Rows
PLEASE CHOOSE ONE
NEW REQUEST
√
X
REPLACEMENT
√
X
A. EVIDENCE FOR DAMAGED TOOL:
(SKIP THIS QUESTION IF REQUEST IS FOR NEW REQUEST)
AI. DAMAGED TOOLS (WHOLE PICTURE)
AII. DAMAGED PART OF THE TOOL
REMARKS FOR DAMAGED TOOLS (SHORT EXPLANATION)
*COMPULSORY
B.SAMPLE PHOTO FOR NEW TOOL:
(PLEASE SHARE SAMPLE PHOTO INTO JOTFORM'S GROUP ACCORDINGLY)
REMARKS FOR NEW TOOLS (SHORT EXPLANATION)
*COMPULSORY
TOOL 2
(PLEASE FILL UP THE INFORMATION ACCORDINGLY/ SKIP IF NOT APPLICABLE)
1. TOOLS DESCRIPTION
*COMPULSORY
DATE REQUESTED
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
*COMPULSORY
QUANTITY
*COMPULSORY
PURPOSE OF REQUEST
Rows
PLEASE CHOOSE ONE
NEW REQUEST
√
X
REPLACEMENT
√
X
A. EVIDENCE FOR DAMAGED TOOL:
(SKIP THIS QUESTION IF REQUEST IS FOR NEW REQUEST)
AI. DAMAGED TOOLS (WHOLE PICTURE)
AII. DAMAGED PART OF THE TOOL
REMARKS FOR DAMAGED TOOLS (SHORT EXPLANATION)
*COMPULSORY
B.SAMPLE PHOTO FOR NEW TOOL:
*(SKIP THIS QUESTION IF REQUEST IS FOR TOOL REPLACEMENT)
REMARKS FOR NEW TOOLS (SHORT EXPLANATION)
*COMPULSORY
TOOL 3
(PLEASE FILL UP THE INFORMATION ACCORDINGLY/ SKIP IF NOT APPLICABLE)
1. TOOLS DESCRIPTION
*COMPULSORY
DATE REQUESTED
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
*COMPULSORY
QUANTITY
*COMPULSORY
PURPOSE OF REQUEST
Rows
PLEASE CHOOSE ONE
NEW REQUEST
√
X
REPLACEMENT
√
X
A. EVIDENCE FOR DAMAGED TOOL:
(SKIP THIS QUESTION IF REQUEST IS FOR NEW REQUEST)
AI. DAMAGED TOOLS (WHOLE PICTURE)
AII. DAMAGED PART OF THE TOOL
REMARKS FOR DAMAGED TOOLS (SHORT EXPLANATION)
*COMPULSORY
B. SAMPLE PHOTO FOR NEW TOOL:
*(SKIP THIS QUESTION IF REQUEST IS FOR TOOL REPLACEMENT)
REMARKS FOR NEW TOOLS (SHORT EXPLANATION)
*COMPULSORY
Preview PDF
Submit
Should be Empty: