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FSPU, UiTM, 40450 , SHAH ALAM

DEPARTMENT OF SURVEYING SCIENCE AND GEOMATICS,

Digital RS Data / Map/Aerial Photo Loan Record


Name Address City State Date Post Code Hp. No. Home Tel. No. Project/Thesis Loan Date Supervisor

Serial No.

Path/Row No.

Remote Sensing/ Topographic Map/ Land Use Map/ Aerial Photo

Return Date

I hereby acknowledge receipt of the items listed above and promise to return it on the date indicated.

I hereby authorize release of the items listed above to the borrower.

Borrowed By

Authorized By (Head of Department)

Puat
Thesis Supervisor

Digitally signed by Puat DN: cn=Puat, o=UiTM, ou=JSUG, email=puats@yahoo.com, c=MY Date: 2011.08.14 15:53:59 -07'00'

Release By PUAT B. HJ. SULAIMAN (Catalogue Data Officer)

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