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INDUSTRIAL TRAINING REPLY FORM

Dr. Azman Mohamed


Industrial Training Coordinator
Faculty of Civil Engineering
Universiti Teknologi Malaysia
81310 UTM, Johor Bahru, Johor

INDUSTRIAL TRAINING REPLY FORM FOR UNDERGRADUATE STUDENT


FACULTY OF CIVIL ENGINEERING, SEMESTER 3 – SESSION 2022/2023

We would like to inform you that we * agree / do not agree (* Delete where applicable) to accept
this/these students /s to undergo his/her/their industrial training from 23 July 2023 until 12
October 2023 in our company/organization.

NAME MATRIC NO ACCEPTED REJECTED


(/ ) (/)
1.

2.

3.

Please fill in the relevant information:

i) Accommodation provided : Yes No


ii) Training Allowance provided : Yes No
iii) Type of Organizations : Private Government

Thank you.

Yours sincerely,

__________________________
Name :
Position :
Company name and address : …………………………………………………………...
(Company’s Stamp) …………………………………………………………...
Tel. No. : …………………………...
Fax No. : …………………………...
Company Email : …………………………...
Completed Industrial Training Reply Form can be sent via email to:
E-mail : li-fka@utm.my
Tel : 07-5531740

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