RESERVATION NO LIMS : DATE :

NAME :

PHONE :

E- MAIL :

VOT NO :

VOT EXPIRY DATE :

RESEARCH PROJECT LEADER / SUPERVISOR : STUDENT :

_________________________________________________ _________________________

NAME :

OFFICIAL STAMP :

_____________________________________________________________________________________________________

FOR ADMINISTRATION USE ONLY :

APPLICATION FORM RECEIVE DATE :

APPLICATION STATUS :

APPROVED

REJECTED

FKK LAB MANAGER ,

___________________________________

NAME :

OFFICIAL STAMP :

- Student has to get permission from the lab staff in charge before using any equipment

- Any damages to the equipment should be reported to the lab staff in charge- Student must clean, store and keep all equipment back its place after used

FAKULTI KEJURUTERAAN KIMIA

FACULTY OF CHEMICAL ENGINEERING

BORANG TEMPAHAN

BOOKING FORM

NO EQUIPMENTNO OF

SAMPLES

UNIT PRICE

(RM)

TOTAL

(RM)