REPORT DUTY FORM

UNIVERSITI KUALA LUMPUR

MALAYSIAN INSTITUTE OF CHEMICAL & BIOENGINEERING TECHNOLOGY (UNIKL MICET) BANDAR VENDOR
TABOH NANING
78000 ALOR GAJAH
MALACCA
EN. ABDUL HAKIM HJ. ABU BAKAR,HEAD OF SECTION, INDUSTRIAL LINKAGES, (06-5512000)

Date Start : January 25, 2021 to July 9, 2021

Dear Sir/Madam,

INDUSTRIAL TRAINING REPORT DUTY CONFIRMATION

STUDENT DETAILS
Name: MOHD KHAIRUL FATHY BIN M.ASRAR I/C: 000809120921
Student ID: 55102118037
Bachelor/Diploma: Diploma in Chemical Engineering Technology (Process)
Address (during practical):

Contact No: Email:

Student’s Signature

Date:

COMPANY’S DETAIL
Company:
Address (student’s current location):

Supervisor’s Name: Position:

Tel. No: Fax:
Email:
Supervisor’s Signature (for confirmation)

Date:

Company Stamp