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FACULTY OF MECHANICAL ENGINEERING

Universiti Teknologi MARA, 40450 Shah Alam, Selangor

Tel: 03-55435209
Industrial Training

Fax: 03-55435160

Industrial Training Registration Form


A.

STUDENTS DETAILS
Name

ID No.

H/P No
EM 221

Email

Home Address

B.

NRIC

:
Course

Semester :
:

PREFERRED COMPANIES

COMPANY 1
Company Name

Contact Person

Email

Address

Company Description

Nature of Business

Type of Training Provided

Contact No :

: EM 220 /

COMPANY 2
Company Name

Contact Person

Email

Address

Company Description

Nature of Business

Type of Training Provided

Contact No :

COMPANY 3
Company Name

Contact Person

Email

Address

Company Description

Nature of Business

Type of Training Provided

Contact No :

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