ACCEPTANCE FORM

UNIVERSITI KUALA LUMPUR

MALAYSIAN INSTITUTE OF CHEMICAL & BIOENGINEERING TECHNOLOGY (UNIKL MICET) BANDAR VENDOR
TABOH NANING
78000 ALOR GAJAH
MALACCA

Industrial Training
UNIVERSITI KUALA LUMPUR MALAYSIAN INSTITUTE OF CHEMICAL & BIOENGINEERING
TECHNOLOGY (UNIKL MICET)
Academic session 2020/2021-2 January 2021 (24) from January 25, 2021 – July 9, 2021.

Student Name: MOHD KHAIRUL FATHY BIN M.ASRAR
from Diploma in Chemical Engineering Technology (Process).

To be filled in by the company

Company Name /Address: SY POLYMER INDUSTRIES SDN BHD
(Company Official Stamp):

Telephone number: fax number:

Contact person:

Designation: Email:

We hereby (please tick)

Agreed: We apologize for unable to accommodate:
Students will be receiving the following facilities:
Monthly /weekly/daily training allowances (if any) RM:
Accommodation will/will not be provided:

Student Acceptance (to be completed by student)

Reminder, student’s final choice of company must be relevant to his/her program.Change of INTRA location is
not allowed after the signing of the acceptance form.

I have read and understood the above and with this

I, hereby (studentname):

Contact no: Email:

Student (please tick)

Agree: Decline:

Signature: Date:

For INTRA Office use only

PLEASE REPLY AND FAX THIS FORM TO UNIVERSITI KUALA LUMPUR MALAYSIAN INSTITUTE OF CHEMICAL &
BIOENGINEERING TECHNOLOGY (UNIKL MICET) by E-Mail(intra.micet@unikl.edu.my) / Fax (06-5512178) not later
than Thursday, December 31, 2020. Your cooperation is highly valued. Thank you.