EXPERIMENT :

COURSE UNIT :
DATE :
LECTURER :

Name of Student Student ID Year and

Semester

Received by: ____________________ Date: ________________

Lab Asst/ Lab Officer/Lecturer

Lecturer

Receipt of Lab Report Submission

(To be keep by student)

EXPERIMENT :
COURSE UNIT :
DATE :
LECTURER :
Name of Student Student ID Year and
Semester

Received by: ____________________ Date: ________________

Lab Asst/ Lab Officer/Lecturer

Lecturer