REPLY FORM

(To be returned to UTeM)

. Our ref :
. Date :
. Tel. No. :
. Fax No :
(Companys name & address)

To:
Dean,
Faculty of Engineering Technology
Universiti Teknikal Malaysia Melaka
Hang Tuah Jaya
76100 Durian Tunggal, MELAKA

Sir,

Student Industrial Training Programme Training Session from:
23
rd
February 2015 07
th
August 2015

With reference to the above we agree/disagree to accept the student as mentioned below to undergo
industrial training at our company for the period specified above:

Students Name :

Matric No :

Course :

2. This student will be placed at :.
(if placement is at a different
from above address) :.

:.
Department :.
Scope of Training :.

Thank you.

Yours Sincerely,

.
(Signature)
Officers Name : Companys Stamp:
Position :
Email:
------------------------------------------------------------------------------------------------------------------------
Acceptance of Industrial Placement (upon facultys approval)

I .. Identity Card No.
hereby agree to accept the placement offer and promise to abide by the rules/regulations of the company and
UTeM. I also declare that I have/will not apply for placement anywhere else.

. .
(Students Signature) (Date) (Faculty Coordinator) (Date)
UTeM (ISO)/PP/PK03/F7

UNIVERSITI TEKNIKAL MALAYSIA MELAKA
Hang Tuah Jaya
76100 Durian Tunggal, MELAKA