QP-TEN-10000-01-00-27

COMPLAINT / REQUEST FORM

Tenant Dept. Eng / HKP / Security / Parking /
To
Tower / Unit No. Safety / …………..

COMPLAINT / REQUEST MADE BY : COMPLAINT / REQUEST RECEIVED BY :

Filled out by Tenant Filled out by Management
Name : Date / Time : Name : Date / Time :

Through : Telp / Ext Mail / Fax In Person ………….

COMPLAINT / REQUEST DESCRIPTION :

RESPONS / HANDLING DESCRIPTION :

DESCRIPTION OF INITIAL RESPONSE Tenant Acknowledgement

Signature
Name :
Date/Time :
COMPLETION OF COMPLAINT / REQUEST HANDLING

Signature
Name :
Date/Time :

MATERIALS REQUIRED

JUMLAH URAIAN BARANG HARGA SATUAN

TOTAL Tenant Approval
QUANTITY DECRIPTION UNIT PRICE

Signature
Name

Date / Time

COMPLETION OF COMPLAINT / REQUEST HANDLING (Filled Out by the Management)

Handled By, Acknowledged By,

Officer from Dept. Dept. Head from Tenancy Relation Head of Property
Concerned Dept. Concerned

Name : Name : Name : Name :

Date : Date : Date : Date :
Time : Time : Time : Time :

Putih : Tenant Merah : Marketing - Tenant Relation Kuning : Dept. Terkait Hijau : Finance & Accounting