Borang Faks

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UNIVERSITI TEKNOLOGI MARA

PULAU PINANG
JALAN PERMATANG PAUH
13500 PERMATANG PAUH
SEBERANG PERAI(T) PULAU PINANG

(FAKULTI KEJURUTERAAN KIMIA)

FAKS : 04-3823292
BORANG PENGHANTARAN DOKUMEN
TERPERINGKAT / TERHAD MELALUI MESIN FAKSIMILI

TARIKH 07/08/09 :
…………………………………………………………………………………………………………………………

KEPADA INDAH WATER KONSORTIUM SDN BHD(IWK)

: …………………………………………………………………....................................................................................
Ground floor No. 3, Jalan Todak 4,
………………………………………………………………………………………………………………………….
13700 Bandar Seberang Jaya
………………………………………………………………………………………………………………………….

DARIPADA FAKULTI KEJURUTERAAN KIMIA, UiTM PULAU PINANG

: ………………………………………………………………………………………………………………………….

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

PERKARA PERMISSION FOR INDUSTRIAL TRAINING

: ………………………………………………………………………………………………………………………….

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

NO. FAKS
: ………………………………………………………………………………………………………………………….
PENERIMA

CATATAN :
…………………………………………………………………………………………………………………………..

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

…………………………………………………………………………………………………………………………...
JUMLAH M/S :
TERMASUK HELAIAN INI 6

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