Request Form for Usage Fee

School/Institute/Centre:(*)

INORSchool of Physics

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Name:(*)

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Matric No.:(*)

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*Name of Supervisor:(*)

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Research Title:(*)

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Active Email:(*)

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Active Mobile No.:(*)

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**Status:(*)

ActiveSubmitted 10 copiesNon-Active

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***Total Price:

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***Total Price:

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Valid from 1 January until 31 December 2017

Please return the original copy with Q-Form to respective NOR Lab staff:

1. Mohd Anas Ahmad

2. Ong Ching Hin

3. Ee Bee Choo

* Referring to the approved list of Supervisors by Jawatankuasa Pintar Fizik dan INOR.

** Only 'Active' student will be subjected to the Usage Fee and have access to NOR Lab and usage of equipment.

** Charge per usage will be applied to the 'Submitted 10 copies' and 'Not active' student.

*** Full usage fee for the student who registered Jan to June (RM2,000) prorated usage fee for the student who registered from July to December (RM1,000).