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PRACTICUUM APPLICATION FORM

FACULTY OF ALLIED HEALTH SCIENCES, UNIVERSITY OF CYBERJAYA


BACHELOR OF PSYCHOLOGY (HONS)

Please attach your resume and e-mail to Faculty Administrative Staff, Mdm. Syazwani
(syazwani@cyberjaya.edu.my); cc to hidayatul@cyberjaya.edu.my and indah@cyberjaya.edu.my. Your
application will be processed at least in a minimum of 3 WORKING DAYS.

Name Afif Ikhwan Hakimi Bin Salehuddin


Matric Number BPSY 2005-2076
Semester Sem 6
Student Status (Fresh/CT) CT
IC Number 990915145597
A-21-10 The Arc Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya,
Address
Selangor
Phone Number 0172952462
E-mail afif.hakimi88@gmail.com
Duration of Practicum 7 March 2022 – 3 June 2022

Company option (Please give priority to companies that have given their consent in writing or orally)

1)
Excel Qhalif
Company name and full 29-1, Jalan Damai Raya 1,
address Alam Damai,
56000, Cheras Kuala Lumpur.
Phone Number 0108058475

E-mail hrexcelqhalif@gmail.com

Name and designation of


Ms. Athirah
the officer to be contacted
2)

Company name and full


address

Phone Number
E-mail
Name and designation of
the officer to be contacted

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