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.