UTM.J.21.07/14.

15/1/3

Fakulti Alam Bina

ATTENDANCE VALIDATION FORM

Section A: To be completed by student/s

Name :

Matrik No & I.C No:

Organization’s Address:

Name of Programme: SBEQ/SBEC

Date of Attendance:

Section B: To be completed by Organization Supervisor

Name:

With this I verify that the

above-mentioned student has
report duty in our company.

Signature:

Membership Security
Stamper/ Company Official
Stamp:

Date:

Please send this form to us via email to Ms Tantish Kamaruddin (b-tantish@utm.my) or fax to 07-5557411