PHYSICAL CHEMISTRY 2010 LABORATORY

UNIVERSITI KUALA LUMPUR

MALAYSIAN INSTITUTE OF
CHEMICAL & BIOENGINEERING TECHNOLOGY

Safety Declaration Form

The Dean/Head of Campus

Universiti Kuala Lumpur
Malaysian Institute of Chemical and Bioengineering Technology
Lot 1988, Vendor City Industrial Area
Taboh Naning, 78000 Alor Gajah
Malacca

Dear Sir,

SAFETY DECLARATION

I ………………………………..…………………………………………………………. ID No ………………………. declare that I

have read and understood the safety rules and regulations in UniKL MICET. I hereby agree to
abide by all the rules and regulations stated in the safety guidelines.

2. I hereby understood the contents and agree that the disciplinary action will be taken against
me, if I do not abide by the stated rules.

3. I am fully responsible for all my actions during laboratory sessions.

Thank you.

Yours faithfully,

……………………………….
Name:
Matrix No:
Subject:
Date: