PCSB PMSB PEMSB PGMSB

PERODUA VISITORS APPROVAL FORM ()

(Please  the appropriate column)

A. Requestor:
Date:
Name / Staff ID Shamsuddin Bin Harikan 10th
Feb 2023
Development
Department / Section/ & Dojo Education-
(No. HP & Ext) (DDE)

B. Details of visit:
Purpose Invitation to Observe and Request Quotation Date:
(Project/activity/meeting/ Execution Simulation Model Line System
others) (FMS) with IoT 1nd Feb 2023

Location Development & Dojo Education Dojo (DDE)

C. Particular of visitors:
Enomatrix Solutions Sdn. Bhd.
Company name
Block TG-B-08, UKM-MTDC, Universiti Kebangsaan Malaysia, 43600
Address
UKM, 43600 Bangi, Selangor

NRIC no. / Covid test ()

No Name HP no. (Please attached
Passport no. result)

1 Khairummu Zammil Bin Nordin 860205-29-5317 016 - 3965951 -

2 Mohd Rezdwan Bin Rosli 840418-12-5073 016 - 3965951 -
Note: Person in charge (PIC) shall ensure all related personnel to comply with Perodua’s SOP and guidelines by Kementerian
Kesihatan Malaysia (KKM).

D. Approval:
Verified by Approval by Approval by
Submitted by:
(Head of Dept.):

Shamsuddin Bin Anuar Bin Halim Sharifuddin bin Abd. Kudus Dr.Selvam Balaraman
Harikan
Executive, DDE Snr Manager, DDE DGM, DDE GM, DDE
Date: 27/01/23 Date: Date: Date: