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Report Duty Form

The document is a report duty form for students at the National Energy University to fill out when starting an industrial training placement. It requests information about the student like their name and ID number, as well as details about the company like their name, address, and contact information. The student must also provide their contact information and signature to confirm they have reported to the company. The company representative then signs and dates the form to confirm the student has reported for their training placement.

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Mohd Harriz
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Download as PDF, TXT or read online on Scribd
2K views1 page

Report Duty Form

The document is a report duty form for students at the National Energy University to fill out when starting an industrial training placement. It requests information about the student like their name and ID number, as well as details about the company like their name, address, and contact information. The student must also provide their contact information and signature to confirm they have reported to the company. The company representative then signs and dates the form to confirm the student has reported for their training placement.

Uploaded by

Mohd Harriz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDUSTRIAL TRAINING, COLLEGE OF ENGINEERING

The National Energy University

REPORT DUTY FORM


COMPANY DETAILS
Name of company:

Company address

Telephone number: Fax number:

STUDENT REPORT DUTY DECLARATION

Name: Student ID No.:


Programme : BEEE / BCCE / BEPE / BCE / BME
Email:
Report duty date:

Training period: From: To:

Address during
Industrial Training

Student contact number :

Student’s signature: Date:

COMPANY CONFIRMATION

We hereby confirm that the following student has reported to the company.

Signature:

Name:

Company stamp: Date:

Note: Student kindly scan the Report Duty Form and email to the Department Clerk within 2 weeks of
Industrial Training commencement.

07032017

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