Utility Audit & Asset Monitoring Unit

UAAM-AT01 / FET

UTILITY AUDIT & ASSET MONITORING UNIT

REQUEST FOR TRANSFER OF ASSET FORM

(This form needs to be filled up in 1 copy only and submitted to UAAM at least 1week before the date of transfer)

APPLICANT'S NAME : ………………………………………………………………………..

I.C.NO./STAFF ID/STUDENT ID : ……………….……………………………………………………….

DEPARTMENT/FACULTY/AGENCY: …………..……………………………………………………….

DATE : ……………………………………PHONE : …………………………………………………….

E-MAIL ADDRESS: ………………………………………………………………………………………..

DURATION (IF TEMPORARY TRANSFER): FROM ………………..… UNTIL ………………………

DATE OF TRANSFER (IF PERMANENT TRANSFER): FROM ………………………………………..

REASON(S) OF TRANSFER: ………………………………………………………………………………

………………………………………………………………………………………………………………...

TRANSFER TO & CONTACT PERSON: …………………………………………………………………………………………….……………….………………………………………………………………………………………………………………..…

NO / EQUIPMENT/ASSET / MODEL/ /

SERIAL NO

QUANTITY

/ ASSET NO.

TERMS & CONDITIONS OF TRANSFER:

i) the use and care of the above equipment/asset is the responsibility of the applicant prior to completion of the transfer process. Any damage or loss due to negligence will be borne by the applicant at a value to be determined by MMU.

ii) equipment/asset therefore must be handled with extreme care. Any damage, misplace, missing or lost of the equipment/asset during the transfer process must be reported immediately to the Cost Center head and the Security with a copy to UAAM, Finance, CITS1 or FMD (whichever is applicable).

iii) Prior written approval is required if the listed equipment/asset is to be moved to an address other than indicated above. Any extension required must be submitted in writing at least two (2) working days before the indicated return date. Failure to comply this instruction may limit the transfer process.

iv) Equipment/asset listed above must be returned before 4.00 pm on the return date for temporary transfer. Failure to comply this instruction may restrict future approval of transfer of equipment/asset.

I have read the above terms and conditions of transfer and accept responsibility for the transfer process of the listed equipment/asset.

APPLICANT / ASSET OFFICER / DEAN/DIRECTOR/HEAD
………………………………….
Signature
Name …………………………..
ID No. .……………………….
Date ………………………….. / Verified by
………………………………….
Signature
Name ………………………..
ID No. .…………………….
Date ……………………….. / Approved/Not Approved
…………………………..…………
Signature
Comments (if any): …………………………….………..
…………………………….…………
……...……………………….………
………………………………………

For IT and any other related equipment only

CERTIFIED BY CITS

(Date, Signature & Stamp)
Recommendation : ………………………………………...………………………………………………………………………
…………………………………………………………………………………………………………………
……...………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………

For Furniture & Fittings only

CERTIFIED BY FMD

ACCEPTANCE BY:

RECEIVING COST CENTER

Certify Acceptance in Good Condition/Order
(Date, Signature & Stamp)
Comments (if not in good condition/order): ………………………………………...………………………………………………………………………
…………………………………………………………………………………………………………………
……...………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………

Notes:

(1) Please provide attachment of list of equipment/asset if space provided above is insufficient.

(2) Relevant copies will be forwarded by UAAM to the Cost Center Office of applicant once the approval process has finalized. For out-campus request, a copy will be given to Security for exit purpose.

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Multimedia University,

Jalan Ayer Keroh Lama, 75450 Melaka

Tel: 606-252 3167

Jalan Multimedia, 63100 Cyberjaya, Selangor

Tel: 603-83125968