REPORT ON IIUM FUNDED PARTICIPATION ATTENDANCE AT LOCAL COURSE

							  REPORT ON IIUM FUNDED PARTICIPATION / ATTENDANCE AT LOCAL
                COURSE / SEMINAR / CONFERENCE

This form has to be attached and to be completed by relevant staff not later than 7 days after the
event. Upon completion, please submit this form together with a copy of papers / proceeding to
the Executive Officer, KICT.


1.       Name :            ______________________________________________________

2.       Department:       ______________________________________________________

3.       Staff No. :       ______________________________________________________

4.       Title of Course/Seminar/Conference:

         __________________________________________________________________

         __________________________________________________________________

5.       Theme of Course/Seminar/Conference (if any):

         __________________________________________________________________

6.       Sponsor/Organizer of the Course/Seminar/Conference:

         __________________________________________________________________

7.       Duration of the Course/Seminar/Conference:

         From: ____________________________                    To:      ________________________

8.       Days of attendance at Course/Seminar/Conference:

         From: ____________________________                    To:      ________________________


9.       Participated as a:

               Paper Presenter                                   Chairperson


               Discussant                                        Participation without any paper

NOTE: If you are a paper presenter, please answer question 10 to 13. If not, please go to question 14.
10.   To the best of your knowledge, was your paper well received?

           Yes                         No                       Not Sure


11.   Given the chance, would you rewrite or revise your paper?

          Yes                          No                       Not Sure


      If your answer is YES, indicate in one or two sentences in what way you would
      like to rewrite or revise your paper:

      __________________________________________________________________

      __________________________________________________________________

12.   What are the prospects of getting your paper published?

           Good                        Not Good                 Not Sure


13.   If the prospect is GOOD, who do you think would publish your paper?

      __________________________________________________________________

      __________________________________________________________________

14.   What was your impression of the Course/Seminar/Conference?

      __________________________________________________________________

      __________________________________________________________________

15.   What benefits do you think you gained from attending Course / Seminar /
      Conferences?

      __________________________________________________________________

      __________________________________________________________________

      __________________________________________________________________
16.   Would you recommend other colleagues in KICT to attend such Course/Seminar/
      Conferences in the future?

             Yes                                          No


      COMMENTS (If any)

      __________________________________________________________________

      __________________________________________________________________

      __________________________________________________________________

      __________________________________________________________________




      ______________________                                 __________________
            Signature                                              Date