DOC NO.

: FC/F/02
CENTRE FOR RESEARCH IN ADVANCED FLUID AND PROCESSES REV: 01
UNIVERSITI MALAYSIA PAHANG EFFECTIVE DATE:
LEBUH PERSIARAN TUN KHALIL YAAKOB, 26300 KUANTAN, PAHANG 01/01/2023
PHONE: +609-431 5058 | EMAIL: fluidcentre@ump.edu.my

TECHNICAL SERVICE AGREEMENT FORM

SAMPLE LAB NO.: ____________________

Grant No. / PTJ Code:

Supervisor / Grant Owner:

Student Name: ID No.:

I hereby declare that I agree with the technical service’s price quoted by Centre for Research in Advanced Fluid
and Processes (Fluid Centre) and would like to carry out a technical service provided by Fluid Centre. I also
agree that Fluid Centre will not be held responsible for any services that I provide to the third party based on the
technical service results that I obtained from Fluid Centre Details of the technical service as follow;

UNIT PRICE TOTAL PRICE

TYPE OF TECHNICAL SERVICES QUANTITY
(RM) (RM)

GRAND TOTAL (RM)

SUPERVISOR / GRANT OWNER HEAD OF DEPARTMENT LABORATORY ANALYST

(sign & official stamp) (sign & official stamp) (sign & official stamp)

DATE DATE DATE