N44 Ts Fuis 9 C 6

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SST FORM/LI.

09 (INDUSTRIAL TRAINING ALLOWANCES)


SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH

INDUSTRIAL TRAINING ALLOWANCES FORM

ALLOWANCES OR SALARY (IF ANY) PROVIDED BY


NAME : ___________________________________________ YOUR ORGANIZATION / COMPANY DURING
STUDENT No. : ____________________________________ INDUSTRIAL TRANING.:
NRIC / PASSPORT : _________________________________
PROGRAMME : _____________________________________ Provided; Amount RM _______ per month/10
PHONE NO.: ________________ (H) _______________ (HP) weeks
E-MAIL : __________________________________________ Not Provided
LATEST CGPA : ____________________________________ Others Please Specify : _______________________
DURATION OF INDUSTRIAL TRAINING: ________________________
______________________ TO _______________________

CIMB BANK ACCOUNT NUMBER : VERIFICATION BY PROGRAM INDUSTRIAL


TRAINING COORDINATOR
INDUSTRIAL TRAINING’S ADDRESS :
__________________________________________________ SIGNATURE & COP
__________________________________________________
PHONE NO. : _______________________________________ _____________________________
FAX NO. : _________________________________________ NAME:
DATE: ______/_________/__________
SIGNATURE
Comment : ______________________________________
_________________________________ ______________________________________
DATE :________/________/_________
FOR OFFICE USE ONLY

NOT APPROVED APPROVED

ALLOWANCE APPROVED RM .

DEAN’S APPROVAL/ SIGNATURE & COP

_________________________________

DATE :________/________/__________

REMARKS :

Note * Please Attach Acceptance or Offer Letter From Your Organization/ Company / Department.

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