PRACTICUM LOG BOOK

PHOTO

Student’s Information

Name:

Matric Number:

Program/School:

Address:

Mobile Number:

E-mail:
 Employer’s Information

Name:

Designation:

Company Address:

Office Phone Number:

Mobile Number:

Fax Number:
 Date:

Dean of Student Development and Alumni

College of Arts and Sciences
Universiti Utara Malaysia
06010 UUM Sintok
KEDAH DARUL AMAN

(Fax No.: 04-928 5310)

Dear Sir

CONFIRMATION OF UUM PRACTICUM DUTY REPORT

We hereby confirm that the following student has been reported on

_________________________________________________________________.

Student Name : ________________________________________

Matric No. : ________________________________________
Programme of Study : ________________________________________

We have also received the following documents from the student:-

(Please tick)

I Form (Student’s Declaration Form)

Organisation Supervisor Confidential Report Form
Attendance Form
Practicum Guideline for Organisation
Performance Appraisal (Practicum Abroad Only)

Thank you.

Yours sincerely,

_____________________ _______________________
Signature Organisation’s Official Stamp

Name :
Designation :
Tel. No. :
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp

What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp
What have I learnt today? Date:

EMPLOYER’S REMARKS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

…………………………………
Employer’s Signature/ Stamp