Borang guna makmal redov1
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This document is a laboratory usage registration form from the Civil Engineering Department at an unspecified university. It collects information such as the applicant's name, contact details, student ID number, project/thesis title, supervisor name, requested laboratory and equipment, dates and times of intended usage, and requires signatures from the applicant and laboratory staff. It notes that the completed form must be submitted to the Head of Department at least 3 days before intended laboratory usage.
Borang guna makmal redov1
- 1. Disediakan Oleh: Faisal, Muhairizam,Shahrom, Termizi JABATAN KEJURUTERAAN AWAM CIVIL ENGINEERING DEPARTMENT BORANG PENDAFTARAN PENGGUNAAN MAKMAL LABORATORY USAGE REGISTRATION FORM PhD IJAZAH TINGGI/POSTGRADUATE IJAZAH DASAR/ UNDERGRADUATE 1. NAMA PENUH (**) : ........................................................................................ FULL NAME 2. NO.TELEFON. (**) : ........................................................................................ CONTACT NO. 3. NO. KAD PELAJAR/ MATRIK : ........................................................................................ STUDENT ID NO. /MATRIK NO. 4. ALAMAT EMAIL : ........................................................................................ EMAIL ADDRESS 5. TAJUK PROJEK / TESIS : ........................................................................................ PROJECT/THESIS TITLE NAMA MAKMAL : ........................................................................................ LABORATORY 6. SENARAI PERALATAN : 1...................................... 3. ...................................... EQUIPMENT LIST 2. ..................................... 4. ...................................... 7. SENARAI BAHAN : 1. ..................................... 3. ...................................... MATERIAL LIST 2. ..................................... 4. ...................................... 8. NAMA PENYELIA : ........................................................................................ SUPERVISOR NAME 9. TARIKH PENGUNAAN (**) : .....................................SEHINGGA/ TO..................... ...... DATE OF USAGE 10. MASA PENGGUNAAN (**) : .......................(PG/PTG) SEHINGGA/TO ..................(PG/PTG) TIME OF USAGE AM/PM AM/PM TANDATANGAN PEMOHON : ........................................................................................ APPLICANTS SIGNATURE TARIKH : ........................................................................................ DATE TANDATANGAN PETUGAS MAKMAL : ........................................................................................ LABORATORYS STAFF SIGNATURE TARIKH : ........................................................................................ DATE ________________________________________________________________________________________ UNTUK KEGUNAAN PEJABAT SAHAJA FOR ADMINISTRATOR ONLY DILULUSKAN OLEH/APPROVED BY :.......(KETUA JABATAN/HEAD OF DEPARTMENT) TARIKH/DATE :.......... NOTA : BORANG PERMOHONAN HENDAKLAH DIHANTAR KEPADA KETUA JABATAN SEKURANG-KURANGNYA 3 HARI SEBELUM PENGGUNAAN MAKMAL. NOTE : APPLICATION FORM MUST BE SUBMITTED TO HEAD OF DEPARTMENT AT LEAST 3 DAYS BEFORE USAGE REQUEST. (**) PERLU DIISI / (**) COMPULSORY TO FILL FOTO TERKINI LATEST PHOTO