香港樹仁大學宿舍
設施維修報告表
Hong Kong Shue Yan University
Facilities Maintenance Request Form
*為必須填寫 *Must be filled in
填表人資料 Reported by
姓名* Name*:
學生編號* Student ID:
房間號碼* (如屬多人房間, 請列明 L/R/U/A/B/C/D): Room*:
房間地點* Location*:
研究院 Research Complex
文康 Residential & Amenities Complex
聯絡電話*: Contact no.*:
電郵地址*: Email*:
報告事項 Report
地點*(請選擇類別並加上有關資料): Location*:
需跟進之設施/事項*: Repair item*:
損毀狀況*(請盡量說明,例: 沒有電力供應, 冷氣機沒冷風, 漏水,門鎖壞,不能上網等): Problem (Please specify)*:
預約選項(宿舍房間內設施適用 -- 必須選擇) Appointment time
本人同意校方技術人員, 可在本人或室友不在房間內之情況下,進入房間內跟進維修工作。 ( 備註﹕ 如選擇此項，本處維修人員將於兩至三個工作天內跟進有關事宜 ) I agree technicians and the associated personnel to enter my unit without my presence. (Your request will be handled within 2-3 working days.)
在校方有關人員進入房間時, 本人希望在場. 預約日期/時間如下(不接受即日預約): I'd like to be around when the assessment/repairs takes place (No same-day reservation will be accepted):
第一選擇 First choice:
日期 Date
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06/05/2024(Mon)
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07/05/2024(Tue)
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08/05/2024(Wed)
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09/05/2024(Thu)
Notice
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10/05/2024(Fri)
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13/05/2024(Mon)
Notice
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Warning
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14/05/2024(Tue)
Notice
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15/05/2024(Wed)
Notice
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16/05/2024(Thu)
Notice
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17/05/2024(Fri)
Notice
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20/05/2024(Mon)
Notice
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21/05/2024(Tue)
Notice
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22/05/2024(Wed)
Notice
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on line
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Warning
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23/05/2024(Thu)
Notice
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24/05/2024(Fri)
Notice
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27/05/2024(Mon)
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28/05/2024(Tue)
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on line
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29/05/2024(Wed)
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30/05/2024(Thu)
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on line
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31/05/2024(Fri)
時段 Time period
AM(10:00-12:00)
PM(14:00-17:30)
第二選擇 Second choice:
日期 Date
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06/05/2024(Mon)
Notice
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on line
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07/05/2024(Tue)
Notice
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08/05/2024(Wed)
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09/05/2024(Thu)
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10/05/2024(Fri)
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13/05/2024(Mon)
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on line
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14/05/2024(Tue)
Notice
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on line
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15/05/2024(Wed)
Notice
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on line
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16/05/2024(Thu)
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17/05/2024(Fri)
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20/05/2024(Mon)
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21/05/2024(Tue)
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22/05/2024(Wed)
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23/05/2024(Thu)
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24/05/2024(Fri)
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27/05/2024(Mon)
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28/05/2024(Tue)
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29/05/2024(Wed)
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30/05/2024(Thu)
Notice
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31/05/2024(Fri)
時段 Time period
AM(10:00-12:00)
PM(14:00-17:30)
如職員未能於填表之所選之「第一選擇」進行跟進, 將會盡量安排於「第二選擇」跟進.