REPLY FORM

Note : This reply form is not valid if sent without the accompanying letter produced by the Universiti Tun Hussein Onn Malaysia

To
Head Office,
University And Industry Relations Office (PHI)
Universiti Tun Hussein Onn Malaysia (UTHM)
86400 Parit Raja,
Batu Pahat, Johor Darul Takzim Malaysia.
Tel : 607-4537193 / 7457 Fax: 607-4536262
Email : phi@uthm.edu.my

Sir/Madam,

Please see below the reply card in relation to the application for industrial training placement as requested by your office . Our company ** AGREE /
DO NOT AGREE to provide industrial training placement to your student starting from 01 Jul 2018

NAME OF STUDENT : KONG DUI DUI

IDENTIFICATION NO : 950820136499   MATRIX NO : AD150245
FACULTY      : FACULTY OF MECHANICAL AND MANUFACTURING ENGINEERING
PROGRAMME   : BACHELOR OF MECHANICAL ENGINEERING WITH HONOURS

NO. PARTICULARS YES NO

1 Accomodation is provided
2 Transport is provided
3 Meal is provided
4 Allowance is provided

If YES, please state the amount of allowance provided RM : ____________

Name of Officer : ______________________________ Post : ___________________________
Address :

HPMT INDUSTRIES SDN BHD Company Stamp:

5, JALAN SUNGAI KAYU ARA 32/39,
TAMAN BERJAYA, SEKSYEN 32,
40460 SHAH ALAM SELANGOR

Telephone No : ____________________________
Mobile Tel No : ____________________________
Fax No   : ____________________________
Email    : ____________________________

Confirmation of Acceptance Offer for Industrial Training Placement

I KONG DUI DUI Matrix ID No AD150245 from the Faculty of FACULTY OF MECHANICAL AND MANUFACTURING ENGINEERING
accept / do not accept the offer for industrial training placement as stated in the reply form above. **I do not accept this offer because of
_________________________( **for non-acceptance state your reason). Upon confirming my acceptance of offer, this is to verify that I will not
be changing my industrial training placement without valid and justifiable reason which must be agreed by the company. I understand that
any failure to report for duty in the company on the date mentioned above could lead to my failure in this module.

Yours sincerely

_____________________
( KONG DUI DUI )
** Please cross the necessary part