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REPLY FORM

( To be completed by organization and return to / fax / email to our Faculty )


STUDENT PARTICULAR

Name : MUHAMMAD ALIFF HAZIQ BIN TARMIZI


Programme : IJAZAH SARJANA MUDA SAINS KOMPUTER (KESELAMATAN RANGKAIAN KOMPUTER) DENGAN
KEPUJIAN
Matric No : 051294
Email :
Contact No :

___________________________________________________________________________

On behalf of our organization, we * AGREE / DO NOT AGREE to accept the application to do the internship at our organization.

*please circle the desired response.

___________________________________________________________________________
DETAILS OF ORGANIZATION (Completed by the Organization in case of acceptance)
Org.Name : _________________________________________________________________________________________
Address : _________________________________________________________________________________________
Contact No : _________________________________________________________________________________________

FACILITIES OFFERED

Please tick where appropriate


Type Yes, Provided Not Provided
Allowance (monthly / one-off)
Others (please specify):

AREA

Area / Department offered to the student (please specify)


No. Area / Department

D: CONFIRMATION BY ORGANIZATION
Officer Name :
Designation :
Date :
---------------- ----------------------
( Signature ) ( Official Stamp )

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