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Fakulti Pengajian Pendidikan, UPM

STUDENT INFORMATION FORM / BORANG MAKLUMAT PELAJAR


PART I/ BAHAGIAN I: AGENCY DETAIL / MAKLUMAT AGENSI

AGENCY NAME / Petroliam Nasional Berhad


NAMA PENUH AGENSI
INDUSTRY /
JENIS INDUSTRI Government / Kerajaan
Statutory Bodies / Badan Berkanun
Private / Swasta
Type of industry / Jenis industry :

(Eg/cth : Banking/ Perbankan, service/ perkhidmatan,
manufacturing/ pengeluaran, etc/dll)
UNIT INVOLVE IN
INDUSTRIAL Human Resource Department
TRAINING / BAHAGIAN
UNIT TERLIBAT DALAM
LATIHAN INDUSTRI
NUMBER OF
EMPLOYEES/ >100
JUMLAH PEKERJA DI
AGENSI
OFFICER NAME /
NAMA PEGAWAI
DESIGNATION / Human Resources Manager
JAWATAN
ADDRESS / Human Resources Department, Petroliam Nasional Berhad
ALAMAT (PETRONAS)Tower 1, PETRONAS Twin Towers, Kuala Lumpr City
Centre, 50088 Kuala Lumpur
PHONE NO / NO. TEL 0323014000
EMAIL ADDRESS /
ALAMAT EMAIL
FAX NO. / NO. FAX
PART II/ BAHAGIAN II: STUDENT INFORMATIONS/ MAKLUMAT PELAJAR

FULL NAME / MUHAMMAD IZZAT BIN YUSOFF


NAMA PENUH

MATRIC NO / 185074
NO. MATRIK

I.C NO / NO. K/P 950805-11-5067

PHONE NO / NO. TEL 011-11436953

EMAIL ADDRESS / Izzatyusoff1995@gmail.com


ALAMAT EMAIL

CURRENT ADDRESS / Bilik 349, Blok Raja Udang , Kolej Kedua, Universiti Putra
ALAMAT SEMASA Malaysia 43400 UPM Serdang
(SURAT-MENYURAT)

PERMANENT No 10, Kg Baru Tebing Tembah, 23100, Paka, Dungun,


ADDRESS / Terengganu
ALAMAT TETAP

ENDORSEMENT / PENGESAHAN: Approved/ disapproved/ diluluskan/ tidak


diluluskan

Comment/ Komen :

Industrial Training Coordinator/


Penyelaras Latihan Industri

Date / tarikh:

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