No.

Dokumen : 112-FRM/TNC-00-2-7
Revisi : --
Tanggal : 5 Oktober 2012

SERVICE / WORK REQUEST FORM

No. …………………………………..

Requested by: Tenant's name: Suite No. / Floor / Zone: No.

Diminta oleh Nama Penghuni
Pemilik Penyewa
Dept. (Internal) Received by: Date/Time
Departemen Diterima oleh Tanggal/Waktu
CONTACT PERSON/ADDRESS /Ph. No.
Yang dapat dihubungi/Alamat/No. Telp
ORDER BY: (name & sign) (INTERNAL)
Dicatat oleh:
Anytime / Kapanpun
Date / Tanggal
Time / Jam Perjanjian
SERVICE / WORK REQUESTED ESTIMATED REPAIR COST *
Pekerjaan yang diminta / keluhan Perkiraan biaya pekerjaan

DESCRIPTION OF INITIAL RESPONSE DATE/TIME

Respon awal Tanggal/Waktu

STATUS Cost / Biaya

Work Completed on Free of Charge
Need to Order Spareparts By Tenant / Penghuni
Need to Contract Contractor/Vendor for Quotations (tenant's sign)
Need for Building Owner Approval

TYPE OF SERVICE / WORK TENANT APPROVAL

Mechanical Civil / Architectural / Building Decoration
Electrical Communication / Electronics
A/C Parking
Appliances Cleaning/ Landscape / Gardening ………………………………………...
Plumbing Others : Name / Nama:
Date / Tanggal:
HANDLED BY / Dikerjakan oleh Signature ARRIIVAL TIME / Jam Datang DEPARTURE TIME / Waktu Pengerjaan

SIGNATURES / tandatangan

TENANT/Penghuni DEPT. ENG/ SEC/ HSK DEPT. TENANT RELATION PROPERTY MANAGER

Original : Tenant Kuning : Tenant Relation Merah : Dept. Terkait Hijau : Finance Accounting

Pengelola Properti:
PT. Cushman Wakefield Indonesia