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Universiti Malaysia Perlis (UniMAP)

Centre for lndustrial and Governmental Collaboration (CIGC)

Borang Aduan lnTra

Tarikh:

Nama Pelajar/ Staff

PPK

No Matrik

No Telefon

Nama lndustri

Alamat lndustri

Negeri:

Perkara/ Aduan

Sila lepilkan surat/

dokumen sokongan jika
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Poskod:

KEGUNAAN PEJABAT

TTN.DAKAN:

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PERBINCANGAN

konologilKes,impulan

PEGAWAI BERTANGUNGGJAWAB
Nama:

Tarikh:

Tandatangan

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