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BORANG PERMOHONAN PEMBAYARAN SEMULA PROJEK CAPSTONECAPSTONE PROJECT REIMBURSEMENT APPLICATION FORM
JABATAN KEJURUTERRAN ELEKTRIK, FAKULTI KEJURUTERAAN, UNIVERSITI MALAYA
Group leader’s name :
Supervisor’s name :
Email & Contact No :
Project title :
No Details Price Qty
GRAND TOTAL:
Please continue on a separate paper if the table is not enoughPaste the original receipt onto A4 paper and attach them to the form
Total(RM)
Supervisor’s comment on the relevance of purchase:
Approved* Sign
Not approved*
Applicant’s Signature & Date Supervisor’s approval sign & StampMust comment on relevance of the
purchase for form to be complete.
HOD approval signature & Stamp
* Please circle & comment why if not approved:
_______________________________________
_______________________________________
FOR OFFICE USE:
Date complete document received:
* No refund unless there is an approval from your project supervisor.