FORM PEMINJAMAN BMN/LEPTOP/NOTEBOOK
Date
*
-
Day
-
Month
Year
Date
NAMA
*
NIP
*
INSTANSI
PHONE
*
Keterangan Barang Yang Dipinjam
Type
*
Leptop
Notebook
KODE BARANG
*
3.10.01.02.003.32
KODE INVENTARIS
*
023.14.1500.417798.000.KD.2017
Notes
Photo 1
*
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Photo 2
*
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TTD
*
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