Name:

ID No:Add:

Contact number:
Email :

To :INSTITUTE OF TECHNOLOGY PETRONAS SDN.BHD (ITPSB)

Authorization to Collect Book Voucher

I

_______________________/

NRIC

No:_______________________ID

No.__________________hereby authorized ___________________________ NRIC No:

______________________/ID No_____________to collect the book voucher from the
University on my behalf.

Yours sincerely,
__________________________
Name:
Date: