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MAS JAN 2012

DATE: 17 22 JAN 2012


APPLICATION FORM FACILITATOR MINGGU ALUAN SISWA JAN 2012
NAME ID NO PROGRAMME GPA/ CGPA

PHOTO COMPULSORY!

YEAR & SEMESTER:


HOME ADDRESS PHONE ADRESS

E MAIL ADDRESS

EXPERIENCE AS FACILITATOR (IF ANY)

HIGHEST ACHIEVEMENTS/ POST IN CLUB/ EVENTS

WHY DO YOU WANT TO BECOME FACILITATOR

ANY ADDITIONAL SKILLS? i.e.: Martial Arts, Public Speaking, Drama, Theatre etc

WHICH DEPARTMENT WOULD YOU LIKE TO APPLY FOR? (KINDLY RANK YOU MOST THREE (3) PREFERRED DEPARTMENT)

WELFARE REGISTRATION CEREMONY AND PROTOCOL DISCIPLINE LOGISTIC RELIGIOUS AND MORALE ACTIVITY AND ROLEPLAY SPORTS AND GAMES ACCOMODATION DESKTOP AND PUBLISHING FOOD AND BEVERAGES
SIGNATURE,
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COUNSELING AND STUDENTS DEVELOPMENT UNIT UNIVERSITI TEKNOLOGI PETRONAS TEL: 05 - 3688438 FAX: 05 - 3667746 E - MAIL: jalil_abdullah@petronas.com.my

DATE,
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