3M - Malaysian Association for Prosthodontics

I confirm that my attendance today at the 3M - Malaysian Association for Prosth

(breakfast, tea breaks and lunch) as well as any token gifts/souvenirs are consis
industry/company representatives.

NO PARTICIPANT

1 WAN NUR AMNI WAN AZMI

2 NUR SYARIZA ABDUL JALIL

3 WAN NOR SYAHIRAH BINTI WAN HASSAN

4 NURUL FARAHIN FAZID

5 ASST. PROF CAPT (R) DR. MOHD HAIKAL MUHAMA

ation for Prosthodontics Intervarsity Competition Finals 2017
M - Malaysian Association for Prosthodontics Intervarsity Competition Briefing 2017/2018
ny token gifts/souvenirs are consistent with my employer's or institution's expectations

CLINIC NAME CONTACT NO

IIUM 013-9380597

IIUM 017-7633711

IIUM 014-5075431

IIUM 019-2282302

IIUM 019-2816007
ity Competition Finals 2017/2018 - 12 May 2018
rvarsity Competition Briefing 2017/2018 and the hospitality offered meals
employer's or institution's expectations regarding interactions with

EMAIL SIGNATURE

amni.azmi93@yahoo.com

syarizajalil@gmail.com

mujahidatul_nisaa@yahoo.com

farahinfazid@gmail.com

drhaikal@iium.edu.my
2 May 2018
pitality offered meals
teractions with

REMARKS

COMPETITOR

SUPPORTER

SUPPORTER

SUPPORTER

SUPERVISOR