SST FORM/LI.01
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Resume / Curiculum Vitae
(Format)
[Your Name]
"[IC Number]" Your recent
[Race] [GENDER] [NATIONALITY] passport size
[Street Address], [City, ST ZIP Code] colour photo.
[Phone/HP/HOME]
[e-mail]
SEEKING INDUSTRIAL TRAINING
PERSONAL
[AGE]
[MARITAL STATUS]
[IC NUMBER/MATRICS NUMBER]
[INTERESTS/HOBBIES]
ACADEMIC QUALIFICATIONS
UNIVERSITI MALAYSIA SABAH 2002-2005
BSc (PROGRAM)
[CGPA FOR SEMESTER 1, 2004/5]
[MAJOR COURSES TAKEN SO FAR]
STPM/MATRICULATION/DIPLOMA RESULT 1997-1998
[STATE YOUR RESULT]
SPM 1996-1997
[STATE YOUR BM RESULT]
WORKING EXPERIENCES
POSITION, COMPANY, DURATION
RESEARCH EXPERIENCES
LIST YOUR FINAL YEAR PROJECT
LIST YOUR SUPERVISOR & CONTACTS (PHONE, EMAIL)
AWARDS
DEAN’S LIST OR OTHER SELECTED AWARDS FROM UNIVERSITY/SECONDARY SCHOOL
CUCURRICULUM ACTIVITIES
STATE TYPE OF ACTIVITIES TAKEN ACCORDING TO CHRONOLOGICAL ORDER.
LANGUAGE PROFICIENCY
SPOKEN
WRITTEN
COMPUTER SKILLS
STATE YOUR COMPUTING SKILLS
LABORATORY SKILLS
STATE YOUR LABORATORY SKILLS IF ANY, DELETE THIS IF NOT RELEVANT
SST FORM/LI.02
1
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Senarai Semak Permohonan
(Application Check Lists)
Nama : ___________________________________________________________________
No. Pelajar / IC : ___________________________ Program : ___________________________
No. Telefon (h/p) : __________________________ Tarikh: _____________________________
A. Dokumen Permohonan. Tandakan (√) pada petak yang berkenaan
Bil. Perkara Ada Tiada
1. CV / Resume (Borang LI.01)
2. Salinan keputusan terkini
3. Borang LI.03
B. Senarai Nama Organisasi Yang Dipohon
Jawapan Pilihan
Bil. Nama dan Alamat Perhubungan
(diterima/ditolak) Pelajar (√)
1. Nama organisasi:
Alamat:
No. Telefon : No. Fax:
2. Nama organisasi:
Alamat:
No. Telefon: No. Fax:
3. Nama organisasi:
Alamat:
No. Telefon: No. Fax:
4. Nama organisasi:
Alamat:
No. Telefon: No. Fax:
5. Nama organisasi:
Alamat:
No. Telefon: No. Fax:
C. Ulasan Penyelaras LI :
:
Disemak dan dipersetujui pada (tarikh)
:
Tandatangan dan Cop
SST FORM/LI.03
SCHOOL OF SCIENCE AND TECHNOLOGY
2
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Borang Maklumbalas Organisasi (Permohonan)
(Organization Reply Form - Application)
Industrial Training Coordinator
School of Science & Technology,
Universiti Malaysia Sabah, Locked Bag 2073,
88999 Kota Kinabalu, Sabah.
[Fax: +6 088-435324; E-mail: E-mail: li_sst@ums.edu.my / li_sst@gmail.com]
Date: _____________________
Dear Sir,
APPLICATION FOR INDUSTRIAL TRAINING
On behalf of the Department / Organization / Company, we *agree / disagree to accept the
student below from your school for Industrial Training in our Department / Organization / Company:
Name :
Student No. :
Programme* : Aquaculture Conservation Biology
Biotechnology Geology
Environmental Sciences Mathematics with Economics
Industrial Chemistry Matemathics with Computer Graphics
Marine Sciences Plant Technology
Physics with Electronics
Thank you.
Yours sincerely,
______________________________ __________________________
(Signature) (Official Stamp)
Name :
Position :
Organization (name and full address) :
Phone No: ______________________ Fax: ____________________ E-mail: _________________
*Please select the relevant answer
ISIKAN BAHAGIAN INI JIKA PIHAK TUAN BERSETUJU MENERIMA PADA BAHAGIAN DI
ATAS
(PLEASE FILL UP THIS FORM TOGETHER WITH SECTION ABOVE IF YOU AGREE)
3
1. JANGKA MASA KERJA (Duration of attachment) :__________________ HINGGA (till )
___________________
2. BILANGAN PELAJAR YANG DITERIMA (No. of student accepted): _____________________
3. CADANGAN PENYELIA INDUSTRI (iaitu pegawai yang akan menyelia dan mengawasi pelajar
berkenaan) Proposed Industrial Supervisor (ie. The officer that will supervise and monitor the
student):
A. NAMA (Name) : ________________________________________________________
JAWATAN (Post) : ______________________________________________________
B. NAMA (Name) : ________________________________________________________
JAWATAN (Post) : ______________________________________________________
4. CADANGAN JENIS KERJA / BIDANG KERJA PELAJAR (Type of proposed work/field of work for the
student) :
5. JUMLAH JAM KERJA SEHARI (Total working hour per day) : __________________
6. BILANGAN HARI KERJA (No. of working days) :_________________________
7. BILANGAN HARI CUTI (jika ada) {No. of leave (if any)} : ____________________
8. TARIKH MELAPOR DIRI (Date of report to duty) : __________________________
9. DOKUMEN YANG PERLU DIBAWA (Document to bring along) :
10. ELAUN HARIAN (jika ada) {Daily allowance (if any)} : ADA (Provided) / TIADA (None)
11. KEDIAMAN (Hostel) : ADA (Provided) / TIADA (None)
12. PENGANGKUTAN(Transportation) : ADA (Provided) / TIADA(None)
13. LAIN-LAIN KEMUDAHAN, Sila nyatakan (Others Hospitality, please state) :
14. KETERANGAN LAIN (Others Specification) :
SST FORM/LI.04
Passport Size Photo
4
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Maklumat Peribadi Pelajar
(Student Personal Details)
NAME : ___________________________________________________________________________
STUDENT No. : ____________________ NRIC / PASSPORT : ______________________________
DATE OF BIRTH : _________________ PLACE OF BIRTH :___________________________________
PROGRAMME : ______________________________________________________________________
HOME ADDRESS : ___________________________________________________________________
__________________________________________________________________________________
PHONE NO.: ________________________ (H) ___________________________________(MOBILE)
E-MAIL : __________________________________ LATEST CGPA : _______________________
ADDRESS DURING INDUSTRIAL TRAINING :
__________________________________________________________________________________
__________________________________________________________________________________
PHONE NO. DURING INDUSTRIAL TRAINING : ____________________________________________
INDUSTRIAL TRAINING’S ADDRESS :
__________________________________________________________________________________
__________________________________________________________________________________
PHONE NO. : ____________________________ FAX NO. : __________________________________
ACADEMIC SUPERVISOR : ____________________________________________________________
INDUSTRIAL SUPERVISOR : ___________________________________________________________
POSITION OF INDUSTRIAL SUPERVISOR: ________________________________________________
DURATION OF INDUSTRIAL TRAINING : _____________________ TO _______________________
SST FORM/LI.05a
5
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Laporan 1: Borang Lapor Diri Latihan Industri
(Report 1: Industrial Training Reporting Form)
Catatan : Pelajar diminta melengkapkan dan menghantar borang ini kepada alamat di bawah dalam masa 7 hari dari tarikh
melapor diri. (Please submit this form to the address below within 7 days after reporting for industrial training.)
Diisi oleh Pelajar (To be filled by student)
Nama : ____________________________________________ No. Pelajar : _____________________
Program : __________________________________________________________________________
Alamat Penginapan LI :_______________________________________________________________
_________________________________________________ No. Tel. Rumah: ___________________
No Tel. Bimbit: ___________________________ E-mail : __________________________________
Tandatangan Pelajar : _______________________________ Tarikh : ______________________
** Sila lampirkan bersama pelan lokasi kedudukan tempat Latihan Industri dijalankan.
Diisi oleh Penyelia Latihan Industri (To be filled by the Industrial Training Supervisor)
Dengan ini disahkan bahawa pelajar tersebut di atas telah pun mendaftarkan diri untuk menjalani
Latihan Industri mulai ______________________
Yang benar,
_________________________ ______________________ _____________________
(Tandatangan) (Cop Jabatan) (Tarikh)
No. Telefon : ___________________________ Fax : ______________________
Sila kembalikan borang ini kepada : Penyelaras Latihan Industri,
Sekolah Sains & Teknologi, Universiti Malaysia Sabah,
Beg Berkunci 2073, 88999 Kota Kinabalu, Sabah.
Tel : +6-088-320321; Fax : +6-088-435324
[E-mail: li_sst@ums.edu.my / li_sst@gmail.com]
SST FORM/LI.05b
SCHOOL OF SCIENCE AND TECHNOLOGY
6
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Laporan 2: Borang Laporan Kemajuan Minggu Pertama hingga ke-7
(Report 2: Progress Reports Form for Weeks 1 to 7)
Catatan : Pelajar diminta melengkapkan borang ini sebelum diserahkan kepada Organisasi untuk pengesahan. Pastikan borang
ini dilampirkan dalam Laporan Penuh Latihan Industri. (This form required Organization certification before attached to the Full
Report of Industrial Training).
Nama : ____________________________________________________________________
No. Pelajar : ______________________ Program : ___________________________
Week Work Performed
1
2
3
4
5
7
6
7
Tandatangan Pelajar : _______________________________ Tarikh : ______________________
Nama Penyelia : _____________________________________ Jawatan : ______________________
_________________________ ______________________ _____________________
(Tandatangan Penyelia) (Cop Jabatan) (Tarikh)
SST FORM/LI.05c
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
8
Laporan 4: Borang Pelepasan Laporan Latihan Industri
(Report 4: Industrial Training Report Clearance)
Catatan : Borang ini hendaklah diserahkan kepada Organisasi untuk kebenaran pelepasan laporan. Pastikan borang ini
dilampirkan bersama di mukasurat belakang Laporan Penuh Latihan Industri. Satu salinan Lapuran Penuh hendaklah
diserahkan kepada organisasi (This form must be submitted to the organization for clearance. Please ensure that this form is
attached at the back of your Full Report of Industrial Training. A copy of the Full Report should be submitted to the
Organization)
Nama : ____________________________________________________________________
No. Pelajar : ______________________ Program : ___________________________
Tarikh Latihan Industri: dari _____________________ hingga ______________________________
Nama dan alamat Organisasi di mana Latihan Industri dijalankan:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Tandatangan Pelajar : _______________________________ Tarikh : ______________________
Kebenaran Pelepasan Laporan daripada Organisasi
Nama Penyelia : _____________________________________ Jawatan : ______________________
_________________________ ______________________ _____________________
(Tandatangan Penyelia) (Cop Jabatan) (Tarikh)
SST FORM/LI.05d
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
9
Laporan 5: Borang Laporan Kemajuan Minggu ke-8 hingga 10
(Report 5: Progress Reports Form for Weeks 8 to 10)
Catatan : Pelajar diminta melengkapkan dan menghantar borang ini kepada alamat di bawah pada minggu ke-10 Latihan
Industri dijalankan. (Please submit this form to the address below at 10th weeks of Industrial Training.)
Nama : ____________________________________________________________________
No. Pelajar : ______________________ Program : ___________________________
Week Work Performed
7
8
9
10
Tandatangan Pelajar : _______________________________ Tarikh : ______________________
Nama Penyelia : _____________________________________ Jawatan : ______________________
_________________________ ______________________ _____________________
(Tandatangan Penyelia) (Cop Jabatan) (Tarikh)
Sila kembalikan borang ini kepada : Penyelaras Latihan Industri,
Sekolah Sains & Teknologi, Universiti Malaysia Sabah,
Beg Berkunci 2073, 88999 Kota Kinabalu, Sabah.
Tel : +6-088-320321; Fax : +6-088-435324
[E-mail: li_sst@ums.edu.my / li_sst@gmail.com]
SST FORM/LI.06
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
10
INDUSTRIAL TRAINING
Laporan Penyelia Industri (Penilaian Prestasi Pelajar)
(Industrial Supervisor Report – Assessment of Student Performance)
Catatan (Notes):
a. Borang ini hendaklah diisi oleh Penyelia Industri apabila pelajar tamat latihan.
(This form must be filled up by the Industrial Supervisor once the student has completed his/her
training)
b. Sila poskan atau fakskan terus borang yang telah lengkap diisi ke alamat di bawah pada
minggu terakhir dalam tempoh latihan.
(Please post or fax the completed form directly to the address below on the 8th weeks of the
training).
Industrial Training Coordinator
School of Science & Technology, Universiti Malaysia Sabah
Locked Bag 2073, 88999 Kota Kinabalu, Sabah
Tel: +6 088 320323; Fax: +6 088 435324
E-mail: li_sst@ums.edu.my / li_sst@gmail.com
BAHAGIAN A (PART A) :
1. NAMA PELAJAR (Student Name) : ___________________________________________________
2. NO. PELAJAR (Student No.) : _______________________
3. PROGRAM PENGAJIAN (Program of Study) : ___________________________________________
4. JANGKAMASA LATIHAN (Training Duration) (dd/mm/yy):
daripada (from) _____/_____/_________; sehingga (until) _____/_____/_________
5. NAMA PENYELIA INDUSTRI (Industrial Supervisor Name) :
_______________________________________________________________________________
6. JAWATAN PENYELIA (Supervisor Position) : ___________________________________________
7. ALAMAT INDUSTRI (Industry Address) : ______________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
8. NO. TEL : ______________________________ NO.FAX : ______________________________
9. E-mail : ________________________________
BAHAGIAN B (PART B) :
10. PENILAIAN TERHADAP PELAJAR (Evaluation of Student)
11
ASPEK PENILAIAN (Aspects to Evaluated) SKOR (Score)*
a. Tata tertib kerja / disiplin / kekemasan (Work
Manner / discipline / tidiness) (Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
b. Kecekapan kerja (Work efficiency)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
c. Kerjasama semasa latihan (Cooperativeness)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
d. Mutu kerja (Quality of work performed)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
e. Kerajinan dan kehadiran (Diligence & attendance)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
f. Ketepatan masa (Punctuality)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
g. Pengetahuan saintifik dan teknikal (Scientific and
technical knowledge) (Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
h. Keupayaan menerima pengetahuan dan arahan
(Ability to accept instruction and absorb
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
knowledge)
i. Sifat tanggungjawab (Responsibilties)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
j. Dayausaha dan tahap minat kepada kerja
(Initiative and level of work interest) (Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
k. Kebolehan menjalankan kerja tanpa penyeliaan
(Ability to work independently) (Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
l. Kejujuran (Trustworthness)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
m. Hubungan dengan kakitangan dan majikan
(Relationship with co-workers and officers) (Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
n. Kemahiran Komunikasi (Communication skill)
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
o. Kepimpinan dan kebolehan untuk membuat
keputusan (Leadership and ability to make
(Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
decision)
p. Kreativiti dan inovasi (Creativity and innovation) (Very Good) 5 — 4 — 3 — 2 —1 (Not Satisfactory)
JUMLAH (TOTAL) /80
* Bulatkan yang berkenan.
Panduan (Guideline) : 5 - AMAT BAIK (VERY GOOD)
4 - BAIK (GOOD)
3 - MEMUASKAN (SATISFACTORY)
2 - KURANG MEMUASKAN (LESS SATISFACTORY)
1 - TIDAK MEMUASKAN (NOT SATISFACTORY)
BAHAGIAN C (PART C) :
11. KOMEN PENYELIA INDUSTRI (Industrial Supervisor Comments)
a. PADA PENDAPAT TUAN / PUAN, ADAKAH PELAJAR MEMPUNYAI LATAR BELAKANG YANG
MENCUKUPI BAGI MEMBOLEHKAN MEREKA MENDAPAT MANFAAT DARIPADA LATIHAN
12
INDUSTRI INI? (In your opinion, does the student have enough background that enables her/him
to gain benefit from this industrial training?)
b. SILA SENARAIKAN ASPEK LATIHAN YANG TELAH DIDEDAHKAN KEPADA PELAJAR SEPANJANG
TEMPOH LATIHAN INDUSTRI INI. (Please list major aspects of training which the students has
been exposed to during this industrial training).
c. SILA BERI ULASAN ATAU CADANGAN TERHADAP LATIHAN YANG DILAKSANAKAN YANG PERLU
DIBAIKI ATAU DITAMBAH OLEH PIHAK UNIVERSITI MALAYSIA SABAH. (Please give comments or
suggestions for further improvement on the present industrial training as practiced by UMS).
d. LAIN-LAIN KOMEN SECARA KESELURUHAN. (Other comments in general).
_____________________________ _____________________________
Tandatangan (Signature) Cop Rasmi (Official Stamp)
Tarikh (Date) : ___________________
SST FORM/LI.07
SCHOOL OF SCIENCE AND TECHNOLOGY
UNIVERSITY MALAYSIA SABAH
INDUSTRIAL TRAINING
Borang Penilaian Laporan Latihan Industri
13
(Assessment Form of Student Industrial Training Report)
Catatan :
1. Borang ini hendaklah diisi oleh Penyelia Akademik setelah laporan industri dibaca.
2. Hantar borang yang lengkap kepada Penyelaras LI dalam masa yang ditetapkan.
NAMA PELAJAR : ____________________________________________
NO. PELAJAR : ____________________________________________
PROGRAM : ____________________________________________
PENILAIAN LAPORAN INDUSTRI
PERKARA PERATUSAN PENILAIAN PERATUSAN
BIL.
AGIHAN
Format, Ejaan dan Bahasa
1 (Adakah ia mengikuti format laporan LI SST, ejaan 5
betul dan bahasa lancar)
Susunan Teks
2 (Adakah ia teratur, mudah difahami dan ada 5
kesinambungan)
Sokongan illustrasi
3 (Adakah rajah, peta, jadual, graf, foto, skesta, carta 5
dan sebagainya; cukup, jelas memadai, dan releven)
Isi kandungan
(Adakah laporan yang ditulis menyampaikan dengan
tepat/jelas mengenai aktiviti-aktiviti Latihan Industri
4 15
yang dijalankan; telah mengaplikasikan prinsip-
prinsip sains yang berkaitan; dan telah manampilkan
kualiti kesarjanaan akademik)
Rumusan
(Adakah analisis yang diberikan sejajar dengan
5 5
aktiviti LI yang dijalankan serta laporan yang telah
ditulis)
Rujukan
6 (Adakah senarai rujukan disertakan, lengkap dan 5
ditulis dengan betul)
JUMLAH KESELURUHAN 40
_____________________________ _____________________________
Tandatangan (Signature) Cop Rasmi (Official Stamp)
Nama (Name) : _____________________________________________________________________
Tarikh (Date) : ___________________
Penyelaras Kursus LI mengikut Program :
1. Akuakultur – Dr Annita Yong Seok Kian 6. Kimia Industri –Cik. Rubia Idris
2. Biologi Pemuliharaan – En. Hairul Hafiz 7. Matematik Dengan Ekonomi – Cik Khadizah Ghazali
3. Bioteknologi – Pn. Roslina Jawan 8. Sains Marin – Dr. Saifullah Ariffin Jaaman
4. Fizik Dengan Elektronik – Pn. Rubena Yusof 9. Sains Sekitaran – Cik. Rohana Tair
5. Geologi – En. Ismail Rahim 10. Matematik Dengan Komputer Grafik – Pn. Asdalifah Talibe
14