FORMULIR CHAIN OF CUSTODY LABORATORIUM PUSAT STUDI FORENSIKA DIGITAL UNIVERSITAS ISLAM INDONESIA Jl. Kaliurang Km. 14,5 - Yogyakarta - 55584 Informasi Kasus Nomor Kasus
Hari / Tanggal Pengumpulan Barang Bukti
Nomor Barang Bukti
Jam
Hari / Tanggal
Lokasi Penanggung Jawab Barang Bukti
Nama
Lembaga
Jabatan
Nomor Telpon Deskripsi Barang Bukti
Jenis Barang Bukti
Nomor Serial
Model
Kondisi Keterangan Lain
Merk
Perjalanan Barang Bukti Diserahkan oleh
Diterima Oleh :
Hari / Tanggal
Nama
Nama
Jam
Nomor Telpon
Nomor Telpon
Lokasi
Tanda Tangan
Tanda Tangan
Keterangan
Diserahkan oleh
Diterima Oleh :
Hari / Tanggal
Nama
Nama
Jam
Nomor Telpon
Nomor Telpon
Lokasi
Tanda Tangan
Tanda Tangan
Keterangan
Hal 1 dari 3
Diserahkan oleh
Diterima Oleh :
Hari / Tanggal
Nama
Nama
Jam
Nomor Telpon
Nomor Telpon
Lokasi
Tanda Tangan
Tanda Tangan
Keterangan
Diserahkan oleh
Diterima Oleh :
Hari / Tanggal
Nama
Nama
Jam
Nomor Telpon
Nomor Telpon
Lokasi
Tanda Tangan
Tanda Tangan
Keterangan
Diserahkan oleh
Diterima Oleh :
Hari / Tanggal
Nama
Nama
Jam
Nomor Telpon
Nomor Telpon
Lokasi
Tanda Tangan
Tanda Tangan
Keterangan
Diserahkan oleh
Diterima Oleh :
Hari / Tanggal
Nama
Nama
Jam
Nomor Telpon
Nomor Telpon
Lokasi
Tanda Tangan
Tanda Tangan
Keterangan
Hal 2 dari 3
Penyelesaian Akhir Barang Bukti Barang bukti ini selanjutnya akan dilakukan tindakan akhir dengan cara : c Dimusnahkan/dihancurkan
c
Dikembalikan ke Pemilik
c Dilelang
c
Disimpan
Tindakan Hari
Jam
Tanggal
Lokasi
Alasan
Pemenang Lelang / Pemilik Barang Bukti / Pejabat yang Menyimpan *)
Pejabat yang berwenang Nama
Nama
Jabatan
Jabatan
Tanda Tangan
Tanda Tangan
Saksi I
Saksi II
Nama
Nama
Jabatan
Jabatan
Tanda Tangan
Tanda Tangan Didik Sudyana - 14917207
*) Coret yang tidak perlu. Jika barang bukti dimusnahkan, coret kolom ini
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becomes in effective. Person whom the amount is to be given if the nominee is a minor. (1). (2). (3). (4). (5). (6). (7). (8). Place: Countersigned: Signature: Date :.
MASTER OF BUSINESS ADMINISTRATION. (SUPPLY CHAIN MANAGEMENT). (MBASCMFL). Term-End Examination. June, 2013. MCQ-030 : SOLUTION SELLING AND. CONSULTING. Time : 3 hours. Maximum Marks : 100. Note : Answer any five questions. All questions carry equal m
From the Department of Surgery, Peking Union Medical College Hospital, Beijing, China, and the ..... An infusion of fat-free nutrition solution was started at. 8:00 A.M. and .... using standard software StatView SE.25 Results were ex- pressed as ...
Page 1 of 1. NEW YORK STATE PUBLIC HIGH SCHOOL ATHLETIC ASSOCIATION. WRESTLING MINIMUM WEIGHT ASSESSMENT. PARENTAL AWARENESS FORM. The appropriate and healthful control of body weight for wrestlers has been a concern of athletes, coaches,. athletic t
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Signature of the Doctor / Hospital Authorities ... of India free and unlimited access to seek medical information (Indoor case papers, reports, documents, including.
E-mail Marketing. Television. Website Banners, Links, Posting. Other (Please specify). DECLERATION. I do hereby certify that the above particulars furnished by ...
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Email. Purpose of Request. This form may be submitted to the Mayor's office, in care of the Senior Director of Communications and. External Affairs at the ... This form may be submitted in person, by email, or courier service. ... The following fees
8. How did you get to know about the UCSC Short Term Training Courses? (Please tick appropriate box/es). Newspaper Advertisement. Past Student. Facebook.
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Performs custodial cleaning and light maintenance of school site classroom, multi-use, office, immediate grounds, and related facilities. Custodian I. Notices may ... available at the Human Resources Office and return before: Current Employees: If yo