PERKHIDMATAN UTAMA

PRASISWAZAH

PEJABAT TIMBALAN NAIB CANSELOR

(AKADEMIK & ANTARABANGSA)
Kod Dokumen: PU/PS/BR15/AJR
BORANG SLIP KEDATANGAN TAKLIMAT LMI
(SEMESTER _______ SESI ______)

Kod LMI :
SLIP KEDATANGAN
TAKLIMAT LMI
(Latihan Mengajar & Internship)

Nama Pelajar :……………………………………................................................................................................................

No. Matrik : ………………………................................... No. K.P: …………………….........................................................
Program : ……………………….………............................. Tarikh Taklimat: ……………....................................................
Major & Minor LMI : …………………………………………………….................................................................................
Nama Sekolah: ....................................................................................................................................................
Tandatangan : ……………………………….......................

Kumpulan : (Bulatkan)

PPG DPLI A B C

NO. SEMAKAN : 03
NO. ISU : 02
TARIKH KUATKUASA : 20/08/2019 1 drp. 1