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Borang Jawapan Organisasi (Organization Reply Form)

To: COORDINATOR OF INDUSTRIAL TRAINING Tarikh (Date): _____________


FACULTY OF SOCIAL SCIENCES AND HUMANITIES
UNIVERSITI MALAYSIA SABAH
UMS ROAD, 88400, KOTA KINABALU, SABAH
Fax: +6088 320242
Email : latihanindustrifksw@gmail.com

1. NAMA DAN ALAMAT PENUH ORGANISASI (Name and full address of organization):
_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

2. NO.TELEFON (Tel. No) : ___________________________ NO.FAX (Fax No.): _____________________________

3. E‐MEL (Email) : _______________________________________________________________________________

4. NAMA PELAJAR (Student (s) Name): ______________________________________________________________

5. PROGRAM PELAJAR (Student (s) Program):_________________________________________________________

6. DITERIMA (Accept): TIDAK DITERIMA (Reject):


*Sila ke No. 14 (Proceed to No.14)

7. JANGKA MASA KERJA (Duration of attachment) :_____________________ HINGGA (till ) ___________________

8. PEGAWAI PENYELIA DAN GELARAN (Appointed Supervisor and designation):_____________________________


_____________________________________________________________________________________________

9. CADANGAN JENIS KERJA / BIDANG KERJA PELAJAR (Type of proposed work/field of work for the student) : e.g.
Marketing department-Sales and Promotion.
_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

10. ELAUN (Allowance) : ADA (Provided) / TIADA (Not Provided)


Jumlah (Amount): _________________ (jika ada/if provided)

11. KEDIAMAN (Accommodation) : ADA (Provided) / TIADA (Not Provided)

12. PENGANGKUTAN (Transportation) : ADA (Provided) / TIADA (Not Provided)

13. LAIN‐LAIN JIKA ADA. SILA NYATAKAN (Others. If any please state):
_____________________________________________________________________________________
_____________________________________________________________________________________

14. KETERANGAN LAIN (Others Specification):


_____________________________________________________________________________________
_____________________________________________________________________________________

15. TANDATANGAN & COP SYARIKAT (Signature & Company Stamp):

Fakulti Sains Sosial dan Kemanusiaan


Universiti Malaysia Sabah
LIFSSK 2023

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