REGISTRATION FORM BRIEFING ON RESEARCH GRANT ON PRODUCTIVITY DEVELOPMENT AND IMPLEMENTATION FOR UNIVERSITIES To: Secretariat Research Grant on Productivity Development and Implementation for Universities Malaysia Productivity Corporation (MPC) A-06-01 Level 6, Block A, PJ8 No.23, Jalan Barat Seksyen 8 46050 Petaling Jaya, Selangor Tel: 03-79600173/176/178/179 Fax: 03-79600211 Sir/Madam, I hereby confirm that I/ my representative will attend the above briefing. Name

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Signature University’s stamp Note : * Please email or fax to us the reply form to email: [email protected] or [email protected] or Fax: 032018 (Thursday) 79600211, before May 2nd , 2017 (Tuesday).