F-WH-006-01

EXIT GOODS PERMIT

Date : Item No. or Code :
Exit Goods Permit No: Rev : Destination :
Requestor Name : Address :
Department : Contact Person :
Job Order No. : Phone No. :
Project Name : Expected Delivery Da:
PO/SO/Contract No. :

MEASUREMENT
(MM) NET WEIGHT
No. Goods Description Quantity UOM
(Kg)
L x W x T

Packing/Shipping Information ( fill as necessary )

Kondisi Mati, dan akan di perbaiki di HO

Requested by, Dept. Head Approval, F-WH-006-01
Fabrication Shop / Project Warehouse Received
Manager Approval, and Checked,

Name : Name : Name : Name :

Date : Date : Date : Date :