Equipment Loan Form

 

Fields marked with an * are required

    This document outlines the criteria for an equipment loan from EZEE CLEAN SDN BHD. This form must be completed and signed by the employee operating the borrowed equipment and the Coordinator from EZEE CLEAN SDN BHD before equipment is supplied to the user.


    Equipment Description

    Item
    Serial No.

    Employee Information

    Name
    Contact No.

    Address
    Check List (Equipment in Good Condition)
    Description Qty Issue Date

    Applicant Signature

    Sign Here

    Date

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