FM-BTS-AC-F

Tanggal : 31 Juli 2019

Formulir Permintaan ATK

Stationery Request Form
Dibutuhkan Pada Tanggal Departemen
31 Juli 2019 Engineering
Stationery Required by Date Department
Perincian Permintaan ATK:
Stationery Request Detail:
No. Nama Barang Jumlah Satuan Keterangan
Nu. Item Name Quantity UoM Remarks
1. Kertas A3 1 RIM Additional Kebutuhan Engineering
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Catatan / Notes :
- Form Permintaan ATK diserahkan kepada Departemen GA maksimal tanggal 02 (Dua) di setiap bulannya untuk kebutuhan bulan
Stationery Request Form must be sent to GA Department not later than date 02 of every month for the needs of the next month.
- Pengambilan ATK hanya dapat dilakukan pada pukul 16.00 - 17.00 pada periode tanggal 25 - 31 setiap bulannya.
Stationery should be taken between 4:00 pm - 5:00 pm per period date 25 - 31 every month

Diminta oleh, Disetujui oleh, Form Diterima oleh, Barang Dit

Requested by, Approved by, Form Received by, Goods Re
(User Department) (User Department Head) (GA Department) (User De
Date : Date : Date : Date :
 TS-AC-FAK-05/R0
li 2019

angan
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an bulan berikutnya.
month.

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ate :
 Tanggal :
Nomor FPA :

Formulir Permintaan ATK

Stationery Request Form
Dibutuhkan Pada Tanggal Departemen
Stationery Required by Date Department
Perincian Permintaan ATK:
Stationery Request Detail:
No. Nama Barang Jumlah Satuan Keterangan
Nu. Item Name Quantity UoM Remarks
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Catatan / Notes :
- Form Permintaan ATK diserahkan kepada Departemen GA maksimal tanggal 15 (lima belas) di setiap bulannya untuk kebutuhan
Stationery Request Form must be sent to GA Department not later than date 15 of every month for the needs of the next month.
- Pengambilan ATK hanya dapat dilakukan pada pukul 16.00 s/d 17.30.
Stationery should be taken between 4:00 pm - 5:30 pm.

Diminta oleh, Disetujui oleh, Form Diterima oleh, Barang Diterima ol

Requested by, Approved by, Form Received by, Goods Received b
(Requestor) (Department Head) (GA Department) (Receiver)
butuhan bulan berik
month.

rima oleh,
ceived by,
iver)
 Tanggal :
Nomor FPA :

Formulir Permintaan ATK

Stationery Request Form
Dibutuhkan Pada Tanggal Departemen
Stationery Required by Date Department
Perincian Permintaan ATK:
Stationery Request Detail:
No. Nama Barang Jumlah Satuan Keterangan
Nu. Item Name Quantity UoM Remarks
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Catatan / Notes :
- Form Permintaan ATK diserahkan kepada Departemen GA maksimal tanggal 15 (lima belas) di setiap bulannya untuk kebutuhan
Stationery Request Form must be sent to GA Department not later than date 15 of every month for the needs of the next month.
- Pengambilan ATK hanya dapat dilakukan pada pukul 16.00 s/d 17.30.
Stationery should be taken between 4:00 pm - 5:30 pm.

Diminta oleh, Disetujui oleh, Form Diterima oleh, Barang Diterima ol

Requested by, Approved by, Form Received by, Goods Received b
(Requestor) (Department Head) (GA Department) (Receiver)
butuhan bulan berik
month.

rima oleh,
ceived by,
iver)
 Tanggal :
Nomor FPA :

Formulir Permintaan ATK

Stationery Request Form
Dibutuhkan Pada Tanggal Departemen
Stationery Required by Date Department
Perincian Permintaan ATK:
Stationery Request Detail:
No. Nama Barang Jumlah Satuan Keterangan
Nu. Item Name Quantity UoM Remarks
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Catatan / Notes :
- Form Permintaan ATK diserahkan kepada Departemen GA maksimal tanggal 15 (lima belas) di setiap bulannya untuk kebutuhan
Stationery Request Form must be sent to GA Department not later than date 15 of every month for the needs of the next month.
- Pengambilan ATK hanya dapat dilakukan pada pukul 16.00 s/d 17.30.
Stationery should be taken between 4:00 pm - 5:30 pm.

Diminta oleh, Disetujui oleh, Form Diterima oleh, Barang Diterima ol

Requested by, Approved by, Form Received by, Goods Received b
(Requestor) (Department Head) (GA Department) (Receiver)
butuhan bulan berik
month.

rima oleh,
ceived by,
iver)