Report of Duty

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REPORT DUTY FORM

REPORT OF DUTY NOTIFICATION

This is to confirm that this student has reported for duty in our organization.

STUDENT
Name :___________________________________________
I.D. No :___________________________________________
Organisation Name :___________________________________________
Organisation Address :___________________________________________
____________________________________________
Date of duty joined: ______________________________________

INDUSTRIAL SUPERVISOR
Name :___________________________________________
Designation :___________________________________________
Contact No. :___________________________________________
Email :___________________________________________
Signature :___________________________________________
Organisation Official Stamp

The completed form must be submitted to:

NURUL RUZAINI BINTI RAZAKI


INTERNSHIP COORDINATOR
MAHSA UNIVERSITY
Email: [email protected]
**If this form is not returned within the stipulated date, it will be assumed that the student
is not registered and did not report for duty. Hence, no evaluation will be made on the
student.

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