Declaration
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MMU/SD/form/01
SECURITY DIVISION EQUIPMENT / ASSET DECLARATION FORM ( This form needs to be filled up in 1 copy only and submitted within 24 hours upon entry into the Campus) DECLARATION OF EQUIPMENTS OR PARTS/ ASSETS. Any person entering the Multimedia University Campus carrying any of the following equipment and/ or parts/ asset MUST fill this form if he/she wishes to take the same item out from the campus upon exit. COMPUTER, AUDIO VISUAL, ELECTRICAL, ELECTRONIC, TELECOMMUNICATIONS (MOBILE HANDPHONES EXCLUDED), SCIENTIFIC OR LABORATORY EQUIPMENT, INSTRUMENTS OR PARTS. (WARNING : NO SUCH EQUIPMENT OR PARTS CAN BE TAKEN OUT FROM THE CAMPUS WITHOUT THIS RECORD OR THE PERMISSION OF THE DIRECTOR OF SECURITY DIVISION) NOS
DESCRIPTION/NAME OF EQUIPMENT OR ITEM
QUANTITY
SERIAL NOS. (IF ANY)
SIGNATURE
: _________________________________________________
STAFF/STUDENT/UNIT/COMPANY
: _________________________________________________
FACULTY/DIVISION/UNIT/COMPANY : _________________________________________________ ADDRESS
: _________________________________________________
TEL. NO.
: _________________________________________________
STUDENT ID/STAFF ID/IC NO.
: _________________________________________________
VEHICLE NO.
: _________________________________________________
DATE -CHECK –IN
:
DATE-CHECK -OUT
: _________________________________________________
CERTIFIED BY SECURITY OFFICER (DATE, SIGNATURE & STAMP) : _________________________________________________
Cyberjaya Campus Jalan Multimedia, 63100 Cyberjaya, SELANGOR DARUL EHSAN MELAKA Tel : 603-83125489/97, Fax : 603-83125875 E-Mail : [email protected]
Melaka Campus Jalan Ayer Keroh Lama, 75450 Bukit Beruang, Tel : 606-2523933/34, Fax : 606-2315788 Email : [email protected]
SECURITY DIVISION EQUIPMENT / ASSET DECLARATION FORM ( This form needs to be filled up in 1 copy only and submitted within 24 hours upon entry into the Campus) DECLARATION OF EQUIPMENTS OR PARTS/ ASSETS. Any person entering the Multimedia University Campus carrying any of the following equipment and/ or parts/ asset MUST fill this form if he/she wishes to take the same item out from the campus upon exit. COMPUTER, AUDIO VISUAL, ELECTRICAL, ELECTRONIC, TELECOMMUNICATIONS (MOBILE HANDPHONES EXCLUDED), SCIENTIFIC OR LABORATORY EQUIPMENT, INSTRUMENTS OR PARTS. (WARNING : NO SUCH EQUIPMENT OR PARTS CAN BE TAKEN OUT FROM THE CAMPUS WITHOUT THIS RECORD OR THE PERMISSION OF THE DIRECTOR OF SECURITY DIVISION) NOS
DESCRIPTION/NAME OF EQUIPMENT OR ITEM
QUANTITY
SERIAL NOS. (IF ANY)
SIGNATURE
: _________________________________________________
STAFF/STUDENT/UNIT/COMPANY
: _________________________________________________
FACULTY/DIVISION/UNIT/COMPANY : _________________________________________________ ADDRESS
: _________________________________________________
TEL. NO.
: _________________________________________________
STUDENT ID/STAFF ID/IC NO.
: _________________________________________________
VEHICLE NO.
: _________________________________________________
DATE -CHECK –IN
:
DATE-CHECK -OUT
: _________________________________________________
CERTIFIED BY SECURITY OFFICER (DATE, SIGNATURE & STAMP) : _________________________________________________
Cyberjaya Campus Jalan Multimedia, 63100 Cyberjaya, SELANGOR DARUL EHSAN MELAKA Tel : 603-83125489/97, Fax : 603-83125875 E-Mail : [email protected]
Melaka Campus Jalan Ayer Keroh Lama, 75450 Bukit Beruang, Tel : 606-2523933/34, Fax : 606-2315788 Email : [email protected]
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