Universiti Malaysia Perlis

UniMAP
Centre for Industrial and Governmental Collaboration (CIGC)
InTra VERIFICATION FORM
Section 1 To be completed by student

Student Name:

Muhammad Aidid bin Abu

Bakar

Programme:

Engineering Entrepreneurship

School of PPIPT

Matric No : 141222200
Hp. No :

010-5652890 / 0125700973

Host Company: Kedai Komputer Kak Mira

Address:
Section 2 To be completed by Host Company
This is to confirm that Muhammad Aidid bin Abu Bakar
(Student Name)
Has registered for training starting on: 27 of June 2016
(Date Registration)
at (Kedai Komputer Kak Mira) 1. 246 , Tingkat Bawah , Kompleks Komersial Shahab Perdana ,
Alor Setar
2. LOT 1-35, Tingkat 1, Kompleks City Plaza , Jalan Tunku Ibrahim , Alor Setar (Main Branch)

(Host Company Name & Address)

Name
Position
Email
Signature
Phone Number
Fax

:
:
:
:
:
:

Mohd Nazlin bin Mohd Napi

Owner / Supervisor
kakmirapc@gmail.com
nazlin
012-4565664
04-7330091

**Student should return this form within one week after reporting for duty at the Host Company
Centre for Industrial and Governmental Collaboration (CIGC)
Aras 2, Bangunan Pentadbiran Pusat Kejuruteraan & Inovasi,
Kampus Tetap UniMAP Pauh Putra,
02600 Arau, Perlis, Malaysia
acacic@unimap.edu.my