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  • Practicum Placement Information (Form A)

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    NUR AFIFAH BINTI JAMALUDIN STUDENT
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    Nur Afifah binti Jamaludin, a student with matriculation number CGS03042926, is completing her practicum. She is enrolled at OUM Temerloh and her contact information is provided. The document requests information about the institution where she will complete her practicum, including the name, full address, contact person, and commencement date. It includes a section for management confirmation with signature, name, and date. Students are asked to scan and email the completed form to the provided email or fax number before beginning their practicum session.

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    1. Practicum Placement Information (Form A)

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    Nur Afifah binti Jamaludin, a student with matriculation number CGS03042926, is completing her practicum. She is enrolled at OUM Temerloh and her contact information is provided. The document requests information about the institution where she will complete her practicum, including the name, full address, contact person, and commencement date. It includes a section for management confirmation with signature, name, and date. Students are asked to scan and email the completed form to the provided email or fax number before beginning their practicum session.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views1 page

    Practicum Placement Information (Form A)

    Uploaded by

    NUR AFIFAH BINTI JAMALUDIN STUDENT
    Nur Afifah binti Jamaludin, a student with matriculation number CGS03042926, is completing her practicum. She is enrolled at OUM Temerloh and her contact information is provided. The document requests information about the institution where she will complete her practicum, including the name, full address, contact person, and commencement date. It includes a section for management confirmation with signature, name, and date. Students are asked to scan and email the completed form to the provided email or fax number before beginning their practicum session.

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    © All Rights Reserved
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    of 1

    PGDT HPGD4606

    FORM A

    PRACTICUM PLACEMENT INFORMATION (PGDT)

    Student’s Name : Nur Afifah binti Jamaludin

    Matriculation No : CGS03042926
    010-9883298
    H/Phone No. & Email address : ifa23@oum.edu.my

    OUM Learning Centre : OUM Temerloh

    **Practicum mode /
    **Students under Mode 1 must enclose a copy of certified letters/documents to prove teaching experience in the
    related field.

    INSTITUTION/SCHOOL INFORMATION

    Name of School/College/University
    :

    Full Address
    :

    Contact person & Phone no


    :

    Date of practicum commencement :

    MANAGEMENT CONFIRMATION (PRINCIPAL/HEAD/DEAN/etc)

    Signature & Stamp :

    Name :

    Date :

    Remarks :

    Note:

    Please scan & email this form BEFORE commencing your practicum session to:

    Email: nooruzaila@oum.edu.my OR

    Fax no: 03-78030745 (attn: Pn.Nooruzaila Abd Rashid)

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