UTeM (ISO)/PP/PK03/F7

UNIVERSITI TEKNIKAL MALAYSIA MELAKA

Hang Tuah Jaya
76100 Durian Tunggal, MELAKA

REPLY FORM
(To be returned to UTeM via fax at 06-555 2222/2266)
.
.
.
.
(Companys name & address)

Our ref :
Date :
Tel. No. :
Fax No :

To:
Dean,
Faculty of Electrical Engineering
Universiti Teknikal Malaysia Melaka
Hang Tuah Jaya
76100 Durian Tunggal, MELAKA
Sir,

STUDENT INDUSTRIAL TRAINING PROGRAMME TRAINING SESSION FROM 23 JUNE 2014~

29 AUGUST 2014
With reference to the above we agree / disagree (please circle one) to accept the student as mentioned
below to undergo industrial training at our company for the period specified above.
Students Name :
Matric No

Course

2.

This student will be placed at

:.
(if placement is at a different
from above address)
:.

Department
Scope of Training

:.
:.
:.

Thank you.
Yours Sincerely,
.
(Signature)
Officers Name :
Companys Stamp:
Position :
Email:
-----------------------------------------------------------------------------------------------------------------------Acceptance of Industrial Placement (upon facultys approval)
I .. Identity Card No.
hereby agree to accept the placement offer and promise to abide by the rules/regulations of the company and
UTeM. I also declare that I have/will not apply for placement anywhere else.


(Students Signature)

.
(Date)

.
(Faculty Coordinator)

(Date)