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JABATAN PEMBANGUNAN SUMBER MANUSIA (JPbSM) PEJABAT PENDAFTAR UNIVERSITI TEKNOLOGI MARA 03 – 55443104/3107 Fax: 03 - 5

JABATAN PEMBANGUNAN SUMBER MANUSIA (JPbSM) PEJABAT PENDAFTAR UNIVERSITI TEKNOLOGI MARA 03 – 55443104/3107 Fax: 03 - 55443102. Tarikh : ………………………. Penolong Pendaftar Kanan (Peperiksaan) Jabatan Pembangunan Sumber Manusia Pejabat Pendaftar Universiti Teknologi MARA 40450 Shah Alam

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JABATAN PEMBANGUNAN SUMBER MANUSIA (JPbSM) PEJABAT PENDAFTAR UNIVERSITI TEKNOLOGI MARA 03 – 55443104/3107 Fax: 03 - 5

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  1. JABATAN PEMBANGUNAN SUMBER MANUSIA (JPbSM)PEJABAT PENDAFTAR UNIVERSITI TEKNOLOGI MARA 03 – 55443104/3107 Fax: 03 - 55443102 Tarikh : ………………………. Penolong Pendaftar Kanan (Peperiksaan) Jabatan Pembangunan Sumber Manusia Pejabat Pendaftar Universiti Teknologi MARA 40450 Shah Alam (U/P: Encik Mohd Azlin Jalil/Puan Azian Saleh) BORANG PENDAFTARAN PROGRAM PERALIHAN PEMBANTU MAKMAL C17/C22/C26 Sila daftarkan penama berikut untuk menyertai Program Peralihan Pembantu Makmal C17/C22/C26 (1)

  2. Nama Fakulti/ Bahagian/ Pusat/ Cawangan: ....................................................... ………………………………............ ………………………………………. ………………………………………. No. Tel: …………No. Fax: …………… ………………………………… Tandatangan & Cop Ketua Jabatan • Sebarang Pertanyaan: • PUAN ZALEHA MOHD. NUSI Tel: 03-55443105 • Penolong Pendaftar Kanan (Peperiksaan) • ENCIK MOHD AZLIN JALIL Tel: 03-55443104 • Pegawai Eksekutif (Peperiksaan) • PUAN AZIAN SALEH Tel: 03-55443107 • Kerani (Peperiksaan) ** Untuk Kegunaan Jabatan Pembangunan Sumber Manusia (JPbSM): Tarikh Terima : …………........… Diterima Ditolak Ulasan : ……………………………….….. Lewat Penuh (2)

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