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Sample Form: درخواست تعمیرات دفتر و تأسیسات

برق، تأسیسات، تهویه، نظافت: محل، فوریت، عکس و پیگیری با کد.

6 questions · Free up to 50 responses a month

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About this template

“درخواست تعمیرات دفتر و تأسیسات” has 6 questions; 4 are required and 2 optional. Question types: Employee ID (1), Short text (1), Dropdown (1), Single choice (1), Long text (1), File upload (1). 9 ready-made options across 2 choice questions, all editable in the online version.

In the online version of this template

  • Attached files are stored with the response.
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Questions in this template

  1. 1.

    کد پرسنلی

    (Employee ID)
  2. 2.

    محل (طبقه / اتاق) *

    (Short text)
  3. 3.

    نوع *

    (Dropdown)
    • برق
    • آب و تأسیسات
    • تهویه و سرمایش
    • نظافت
    • درب و قفل
    • سایر
  4. 4.

    فوریت *

    (Single choice)
    • عادی
    • فوری
    • اضطراری
  5. 5.

    شرح *

    (Long text)
  6. 6.

    عکس

    (File upload)

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
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How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “درخواست تعمیرات دفتر و تأسیسات”.
  3. Change the questions as you like, publish the form and send the link.

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