KEW.

PA-10
LAPORAN PEMERIKSAAN HARTA MODAL
(diisi oleh Pegawai Pemeriksa)

Kementerian/Jabatan : SMT SEJINGKAT
Bahagian : ASRAMA

Bil
No. Siri
Pendaftaran
Jenis Harta
Modal
Lokasi
Daftar (KEW.PA-2)
Keadaan Harta
Modal
Catatan
Lengkap Kemaskini
Mengikut
Rekod
Sebenar Ya Tidak Ya Tidak
1.
SMTS/AP/01.13
/002/99
Colour TV 29 &
2 Way
Extension cord
(Panasonic

2.
SMTS/AP/01.13
/001/99
Colour TV 29 &
2 Way
Extension cord

3.
SMTS/AP/01.27
/003/99
Water cooler
(Racco Coolers)

4.
SMTS/AP/01.27
/002/99
Water cooler
(Racco Coolers)

5.
SMTS/MAKCOM
/03.00/038/99
Desktop Micro
Computer

6.
SMTS/DM/01-
99/001/99
4 Door Upright
Chiller

7.
SMTS/DM/01-
99/002/99
6 Door Upright
Chiller

8.
SMTS/DM/01-
99/001/99
6 Door Upright
Chiller

9.
SMTS/DM/01-
99/003/99
6 Door Upright
Chiller

10.
SMTS/DM/01-
11/001/99
6 Door Upright
Freezer

11.
SMTS/DM/01-
11/002/99
6 Door Upright
Freezer

12.
SMTS/DM/01-
11/004/99
6 Door Upright
Freezer

13.
SMTS/DM/01-
21/001/99
4 Open Burners
Range

14.
SMTS/DM/01-
17/001/99
3 Decked Rice
Cooker (21KG)

15.
SMTS/DM/01-
17/002/99
3 Decked Rice
Cooker (21KG)

17.
SMTS/A/01.01/
001/01
Amplifier C/W

18.
SMTS/A/01.02/
001/02
PA Sistem To A
ZA1031

19.
SMTS/A/00-
01/003/02
Horn Speaker

20.
SMTS/A/00-
01/004/02
Horn Speaker

21.
SMTS/A/00-
01/005/02
Horn Speaker

22.
SMTS/A/00-
01/006/02
Horn Speaker

23.
SMTS/A/00-
01/007-008/01
Cordless
Microphone

24.
SMTS/PA/03-
03/001/2002
Dvd Player

25.
SMTS/PA/03.03
/002/2002
Dvd Player

26.
SMTS/PA/03.03
/003/2002
Dvd Player

27.
SMTS/PA/01-
13/003/2002
TV 29

28.
SMTS/PA/01-
03/004/2002
TV 29

29.
SMTS/PA/01-
03/005/2002
TV29

30.
SMTS/A/01.01/
002/02
MULTI P.A.
Combination
Amplifier

31.
SMTS/AL/KEW
312/02-
00/001/03
Hot And Water
Dispense

32.
SMTS/AP/KEW
3121/02-
00/002/03
Hot And Water
Dispense

33.
SMTS/DM/KEW
312/01-
07/003/03
Pensonic Rice
Cooker

34.
SMTS/DM/KEW
312/01-
07/004/03
Pensonic Rice
Cooker

35.
SMTS/DM/KEW
312/01-
07/005/03
Pensonic Rice
Cooker

36.
SMTS/DM/KEW
312/01-
07/006/03
Pensonic Rice
Cooker

37.
SMTS/DM/KEW
312/01-
07/007/03
Pensonic Rice
Cooker



(Tandatangan)


(Nama Pegawai Pemeriksa 1)

.
(Jawatan)

..
(Tarikh Pemeriksaan)


(Tandatangan)


(Nama Pegawai Pemeriksa 2)

.
(Jawatan)

..
(Tarikh Pemeriksaan)
Nota:

Lokasi: Nyatakan lokasi harta modal mengikut rekod dan lokasi harta
modal semasa pemeriksaan.

Daftar: Tandakan pada yang berkenaan.

Keadaan Harta Modal : Nyatakan samada sedang digunakan atau tidak
digunakan.

Catatan: Penjelasan kepada penemuan pemeriksaan
38.
SMTS/DM/KEW
312/01-
11/005/03
Hometech
Chest Freezer

39.
SMTS/ASR/H/09
(01)
Cctv (Set)

40.
SMTS/ASR/H/09
(02)
Cctv (Set)

41.
SMTS/ASR/H/09
(01)
Hot & Cold
Watercooler

42.
SMTS/ASR/H/09
(02)
Hot & Cold
Watercooler

43.
SMTS/ASR/H/09
(01)
PA Sistem

44.
KPM/BPTV/12/S
MTS/ASR/H/10(
01)
Hot & Cold
Water Cooler

45.
KPM/BPTV/12/S
MTS/ASR/H/10)
02)
Hot & Cold
Water Cooler