Maintenance Order Form
Kindly complete all the details below to request order
Requestor
*
Name
Shift
*
Please Select
Shift A
Shift B
Shift C
Normal
Item Name
*
Item Description/Specifications
*
Example: Dimension/Voltage/Amp/Others
Quantity/Unit
*
Please remark Unit (unit/pcs/set/meter/lot)
Plant
*
Please Select
Penicillin
External
External - Label & Coding
Syrup - Primary
Syrup - Secondary
Softgel
Herbal
Germisep
QC Lab
Logistic
All Plant
Other
Usage (Machine/Location)
*
Example: CP2 Machine, V2 Machine
Urgent
*
Yes
No
Item Picture/Image
*
Upload Picture
Drag and drop files here
Choose a file
Please upload the picture of required item with several views or with specification or label.
Cancel
of
Submit
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