FKUSK1 F 2 Document Distribution and Acceptance Form

UPM/FMHS/F 2

FACULTY OF MEDICINE AND HEALTH SCIENCES
UNIVERSITI PUTRA MALAYSIA

F2

DOCUMENT DISTRIBUTION AND ACCEPTANCE

From : ___________________

Date of Despatch: ____________________

Attached controlled copy of the following document:
Document
No.

Document Title

Issue and
Revision Number

Issue
Date

Effective
Date

Please complete the receipt note below and return the obsolete document with this form as
evidence that this document has been received and return the previous issue/revision to Quality
Manager.
RECIPIENT:
Name

: ________________________________________

Lab/Department : ________________________________________

Signature of Recipient:

Received and Verified by DCO:

__________________
Date :

_________________________
Date:

Revision No.: 00

Issue No.: 01

Effective Date: 2 May 2013