LI – 1: Student Registration Form

This form is to be completed online (sktm.ums.edu.my/li/default.aspx) by the student when registering for industrial training.

Student Personal Details

Full Name : ____________________________________________________________________

Matric No : _____________________________ I/C No.: _______________________________
Program : _____________________________ CGPA: ________________________________
Permanent Address : _____________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________
E-mail : _____________________________ Phone / HP : ___________________________

Additional Skills / Knowledge

Please write down any skills or knowledge that you think are relevant to your industrial training such
as elective courses or co-curriculum activities

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Preferred Industrial Training Locations

Please name the Town and State in which you prefer to undergo your Industrial Training course.

1st Choice : ____________________________________________________________________

2 Choice
nd
: ____________________________________________________________________
3rd Choice : ____________________________________________________________________

Signature : _____________________________ Date: _________________________________

(For FKJ Office use only)

Received :

Official Stamp :

Date :
LI – 2: Industrial Training Commencement Form

Section A of this form is to be completed by the student when reporting for industrial training, Section B of this
form is to be completed by the Industrial Supervisor.

The student and industrial supervisor must discuss and produce an Industrial Training Plan for the period of training. The
Industrial Training Plan must be attached to this form and submitted (by email, fax, or post) by the student to the
Industrial Training Administration within 7 days from the date of industrial training commencement.

Section A (Student)

Full Name : ____________________________________________________________________

Matric No : _____________________________ I/C No.: _______________________________
Program : ____________________________________________________________________
Current Address : ______________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
E-mail : _____________________________ Phone / HP : ___________________________

Signature : _____________________________ Date: _________________________________

Section B (Industrial Supervisor)

I certify that the above named student has reported for duty on ______.
He/she will undergo the training under my supervision and will be assigned jobs/tasks as specified in
the attached Industrial Training Plan.

Name : _______

Position : _____________

Organization : _____________
Company’s Website : _____________________________________________________________

Signature : ____________________________ Date :

Official Organization Stamp:

LI – 3A: Industrial Training Visit Form (FKJ Lecturer Report)

This form is to be completed by the FKJ Lecturer after having interviewed the student and Industrial Supervisor during the
industrial training visit or phone call interview. The completed form should be given to the Industrial Training Administration
within 15 days from the date of the industrial visit.

General

Lecturer Name: _____________________________________________________________________

Name of Training Organization: ________________________________________________________
Date of Visit / Call: __________________________________________________________________
Time of Visit / Call: __________________________________________________________________

Person(s) met / called:

Name : ____________________________________________________________________
Post : ____________________________________________________________________

Name : ____________________________________________________________________
Post : ____________________________________________________________________

Organization Review

No. Matter Yes / No Comment

1 Training Schedule / Plan
2 Type of Exposure
3 Tools / Software
4 Scope of Work
5 Accommodation
6 Workspace – Office / Site
7 Safety
8 Allowance

Actions and Comments

Urgent action required from FKJ (if any):

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Comments to improve the industrial training (if any):

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Suitable : Yes / No

Signature :

Date :

LI – 3B: Feedback on the Attributes of UMS Trainee Who is Currently Undergoing

Industrial Training
This form is to be completed by the Industrial Supervisor and to be sent via e-mail ( lisktm@gmail.com) or fax (+6088-320348)
during the 10th week of industrial training. The original copy should be handed to the student in sealed envelope. This report is
confidential and will be used for student’s evaluation.

It is the student’s responsibility to hand it to the Industrial Training Administration on the first Monday of the following
semester.

(A)BACKGROUND

INDUSTRY / INSTITUTION TRAINEE (to be filled by Trainee)

Name and Address of Company:
Trainee Name:

UMS Matric Number:

Gender:  Male  Female

Age:  ≤ 20  21-30  31-40  ≥ 41

Nature of Institution: Length of Training:

 Government Agency  Private Company
 Multinational Company  Others
Type of Industry
 Community & Social Work  Information &
 Mining, Oil & Gas, Energy Communication
 Construction & Building Services  Transportation & Utilities
 Household & Personal Services  Agriculture
 Consultancy & Business Services  Hospitality & Tourism
 Health Services & Healthcare  Financial Activities
 Government
 Education
 Wholesale & Retail
 Sport & Leisure
 Manufacturing
 Others: __________
 Less than 3 months  Exactly 3 months  More than 3
months
Faculty:
Programme Code:
Are Students given allowances? Yes / No
If yes, please tick the range of allowances granted:
 Less than RM300.00
 RM301.00 – RM500.00
 RM501.00 – RM700.00
 Above RM700.00
Industry Supervisor Name:
Position:
Tel. No.: Fax No.:
E-mail:

(B) QUESTIONNAIRES

Please circle the score in the scale of 1 to 7. N/A is abbreviation for Non-Applicable.
Very Strongly Very Strongly
Disagree 1 2 3 4 5 6 7 Agree

1) Knowledge

a The academic knowledge of the trainee is excellent. 1 2 3 4 5 6 7 N/A

b Trainee is able to answer the question related to his / her field. 1 2 3 4 5 6 7 N/A

c Trainee is aware about general knowledge and current issues. 1 2 3 4 5 6 7 N/A

d Additional special knowledge related to industrial training is required. 1 2 3 4 5 6 7 N/A

e Knowledge of the trainee better after industrial training. 1 2 3 4 5 6 7 N/A

2) Technical Skills

a The technical skill of the trainee is within our expectation. 1 2 3 4 5 6 7 N/A

 b Trainee is able understand the technical issues. 1 2 3 4 5 6 7 N/A

c Trainee is able to work by hand-on on technical matters. 1 2 3 4 5 6 7 N/A

d Diagnosing a technical problem is trainee strength. 1 2 3 4 5 6 7 N/A

e Trainee able to perform troubleshooting. 1 2 3 4 5 6 7 N/A

3) ICT Skills

a Has adequate knowledge in using the internet. 1 2 3 4 5 6 7 N/A

b Has adequate knowledge in word processing (MS-Word). 1 2 3 4 5 6 7 N/A

c Has adequate knowledge in spreadsheet (MS-Excel). 1 2 3 4 5 6 7 N/A

d Has adequate knowledge in using e-mail. 1 2 3 4 5 6 7 N/A

e Employer satisfies the overall knowledge of the trainee in ICT. 1 2 3 4 5 6 7 N/A

4) Problem Solving

a Trainee can identify the problem and its cause. 1 2 3 4 5 6 7 N/A

b Trainee initiates to find alternative in solving the problem. 1 2 3 4 5 6 7 N/A

c Able to gather information or reference in finding the solutions. 1 2 3 4 5 6 7 N/A

d Trainee manages the time efficiently in solving problem. 1 2 3 4 5 6 7 N/A

e The problem solved with the assistance by other colleague. 1 2 3 4 5 6 7 N/A

5) Communication Skills

a Trainee can talk in front of the audience. 1 2 3 4 5 6 7 N/A

b Trainee is able to express ideas during a meeting. 1 2 3 4 5 6 7 N/A

c Trainee is able to deliver logical argument. 1 2 3 4 5 6 7 N/A

d Trainee is able to highlight critical issues. 1 2 3 4 5 6 7 N/A

e Communicate well in English language 1 2 3 4 5 6 7 N/A

6) Team Work

a Trainee is work very well in a group of staff. 1 2 3 4 5 6 7 N/A

b Give group priority rather than own priority. 1 2 3 4 5 6 7 N/A

c Trainee can listen and tolerate other staff opinion. 1 2 3 4 5 6 7 N/A

d Trainee can adapt the group member in a short time. 1 2 3 4 5 6 7 N/A

e Trainee is willing to follow the norms and practice of the group 1 2 3 4 5 6 7 N/A
7) Leadership

a Trainee can lead for a given task. 1 2 3 4 5 6 7 N/A

b Trainee can delegate and collaborate to others. 1 2 3 4 5 6 7 N/A

c Trainee can motivate others to work for a goal. 1 2 3 4 5 6 7 N/A

d Trainee is responsible for their action taken. 1 2 3 4 5 6 7 N/A

e Trainee can handle conflict wisely. 1 2 3 4 5 6 7 N/A

8) Professionalism and Ethics

a Trainee exhibits high level of professionalism. 1 2 3 4 5 6 7 N/A

b Maintaining high degree of integrity and honesty. 1 2 3 4 5 6 7 N/A

c Trainee is keen for his/her work commitment. 1 2 3 4 5 6 7 N/A

d Trainee does not violate on any ethical issues. 1 2 3 4 5 6 7 N/A

e Trainee is aware of the code of ethic of his / her future profession. 1 2 3 4 5 6 7 N/A

(C) COMMENTS ON THE INDUSTRIAL TRAINING

a Adequacy of training period. 1 2 3 4 5 6 7 N/A

b Management of industrial training by the university. 1 2 3 4 5 6 7 N/A

c Willingness to take UMS trainees in the future as industrial trainee. 1 2 3 4 5 6 7 N/A

The organization will pursue to absorb these trainees as employees in

d 1 2 3 4 5 6 7 N/A
the company.

e Will never take the graduates to work in organizations? 1 2 3 4 5 6 7 N/A

f Continuous cooperation with university including industrial training. 1 2 3 4 5 6 7 N/A

Other Comments

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(Please feel free to write in another sheet)

Signature:

Name & Post:

Date:
LI – 3C: Industrial Linkage and Collaboration Questionnaire (Industry Feedback)

This form is to be completed by the FKJ Lecturer after having interviewed the Industrial Supervisor during the industrial
training visit. The completed form should be given to the Industrial Training Administration within 15 days from the date of the
industrial visit.

Company Profiles

Name of Organization : _____________________________________________________________

Nature of Business : _____________________________________________________________
Company’s Website : _____________________________________________________________

Collaboration and Industrial Linkages

Please give us information regarding the followings:

1. Is the organization involved in any form of collaboration / linkages with UMS?

Yes No

If yes, please state type of collaboration/linkages : ___________________________________

If no, is the organization willing to have any type of collaboration / linkages with UMS?

Yes No

If yes, what is the organization willing to collaborate on?

Guest Lecturing Industrial Attachment for Lecturers

Sponsorship / Funding (Final Year Project, Postgraduate, Joint Research Labs)

Specific problem to solve or specific area to research & develop

(Please state problem/area: _____________________________________________)

Please include contact person/ liaison officer for collaboration:

Name & Title : ______________________________________________________

Position & Field of expertise : ______________________________________________________
HP / Phone : ______________________________________________________
E-mail : ______________________________________________________

LI – 3D: Industrial Training Visit Form (Student Feedback)

This form is to be completed by the student and submitted to Industrial Training Administration on the first Monday of the
following semester.
Student Personal Details

Full Name : ___

Matric No. : IC No. : ________________
Program : ___

Evaluation of the organization

Industrial Supervisor name:

Company Name :

1) Is the training relevant to your course of study: Yes No

a) If No, please explain:
_

2) Are you satisfied with the quality of the training: Yes No

a) If No, please explain:

3) Did you encounter any difficulties during your training: Yes No

a) If yes, please explain:

4) Any suggestion to improve the industrial training:

Signature: Date:

LI – 3E: FKJ UMS ALUMNI’S EMPLOYER SURVEY

This survey should be filled up by the employer (or superior) of our Faculty of Engineering graduates. If none of our graduate
is working in your company or under your supervision, please omit this form. After completion please return to DEPUTY DEAN
(STUDENT AFFAIRS & ALUMNI) FACULTY OF ENGINEERING, UNIVERSITI MALAYSIA SABAH, JALAN UMS, 88400 KOTA
KINABALU, SABAH, MALAYSIA. TEL: +6088-320000 EXT. 3991, FAX: +6088-320348, EMAIL: lisktm@gmail.com
HOW TO COMPLETE THE SURVEY
This survey consists of four sections, which normally takes less than 10 minutes to complete.
Section A requests some basic information about your organisation for categorisation purpose.
Section B gathers feedback about the performance of UMS graduates within the workspace.
Section C collects information to ascertain the general level of employer satisfaction with UMS graduates.
Section D requires your responses to keep the UMS curriculum relevant.
We would also like you to give your valuable ratings and comments to all sections, including important things
that we may have overlooked. However, if you do not wish to provide some of the information, please feel
free to omit it. All the disclosed information is strictly confidential and will not be referred to by organisation.
The information is for statistical purposes only in order to improve the quality and relevance of both course
design and assessment at UMS in ways that meet your needs. If you have any further doubt about this survey,
please do not hesitate to contact us via email at lisktm@gmail.com

SECTION A

1. Name of organization

2. City & State

3. Type of organization (underline the relevant group listed in the bracket)

(a) Government Agency (local/state/federal) (h) Mining and Exploration
(b) Education/Faculty (public/private) (i) Power and Utilities
(c) College/University (public/private) (j) Information & Communication
Technology
(d) College/University (public/private) (k) Self-employed
(e) Manufacturing (l) Others:
(f) Construction/Engineering Consultancy _______________________
(g) Research & Development (public/private)

SECTION B

4. Is our graduate still practicing and applying knowledge from their respective Yes / No
engineering field in your organization? If yes, please state their
field:____________________________

5. The following questionnaires are to assess the current development of our graduates:

(a) Have our graduates excel in their field of specialisation? Yes / No

(b) Have any of our graduates been promoted / received recognition in the last Yes / No
three years?
(c) Have any of our graduates taken any professional courses / interviews or Yes / No
training in the last three years?
(d) Are our graduates aware and work with necessary social and ethical Yes / No
responsibilities in your organization?

0 1 2 3 4 5 6 7 8 9 10
Strongly Neutral Strongly
disagree response agree

6 Based on the scale above, rate the abilities of our graduates:

 (a) Able to acquire and apply knowledge of science and engineering / ICT fundamentals
(b) Acquired in-depth technical competence in their respective engineering / ICT disciplines
(c) Able to identify, formulate and solve problems
(d) Able to utilise a systems approach to design and evaluate operational performance
(e) Understand the principles of design for sustainable development
(f) Understand and committed to professional and ethical responsibilities
(g) Able to communicate effectively
(h) Able to work independently and /or effectively in a team
(i) Understand the social, cultural, global and environmental responsibilities
(j) Able to engage in life-long learning

SECTION C

7 Are you satisfied with the work performance and attributes of our graduates? Yes / No

If you have any specific comment/concern/attribute that we should take note about our
graduate, kindly specify them in the space provided below:

SECTION D

8 In the space provided below, please outline the key trends and changes in your professional
area/industry over the next 3-5 years in which UMS should be addressing in order to keep its
curriculum relevant and up-to-date.

9 In your opinion, what will be the most important attributes, abilities, skills and knowledge needed by
graduates in a professional area/industry such as yours over the next 3 - 5 years?

10 If there is any key issue which you believe UMS should take particular note of or if there are any overall
comments you would like to make about the survey, please include these in the space below.

~THANK YOU VERY MUCH ~

LI – 4A: Industrial Training Evaluation Form (Academic Supervisor Report)

This form is to be completed by the Lecturer who marks the industrial training log book and technical report. The completed
form should then be handed to the Industrial Training Administration within 3 working days after receiving the report.

Student Personal Details

Full Name : _
Matric No : ______________
Program : _____________________

Evaluation of the Students Report

Please evaluate the student’s report based on the following criteria:

1 = Need Improvement 2 = Acceptable 3 = Satisfactory 4 = Good 5 = Excellent

Please tick (√) once at the appropriate.

MARKS AWARDED
CRITERIA Total
1 2 3 4 5
Log Book (20%) (= Marks given / 15 x 20%)
*

i. Daily tasks
ii. New knowledge
iii. Problem-solving / trouble-shooting (define, identify, solve, verify)
Technical Report (30%)*Format & Appearance (= Marks given / 40 × 30%)
i. Executive summary
ii. Table of content
iii. Clear organization and chapter
iv. Labeling of all diagrams, figures, pictures & tables
v. Referencing
vi. Critical evaluation
vii. Discussion Clarity of language and presentation
viii. Technical accuracy
Total Marks
*Note: Late submission penalty = Deduction of 10% per day.

Academic Supervisor Details

Name :
Program :

Signature : ___________________ Date: _______________________________

LI-4B: Industrial Training Evaluation Form (Industrial Supervisor Report)

This form is to be completed by the Industrial Supervisor and to be sent via e-mail ( lisktm@gmail.com) or fax (+6088-320348)
during the 10th week of industrial training. The original copy should be handed to the student in sealed envelope. This report is
confidential and will be used for student’s evaluation.

It is the student’s responsibility to hand it to the Industrial Training Administration on the first Monday of the following
semester.
Student Personal Details

Full Name :
Matric No. : ______________________
Program : ___________________________

Evaluation of student

Please evaluate the student performance based on the following criteria (tick √):

1 = Need Improvement 2 = Acceptable 3 = Satisfactory 4 = Good 5 = Excellent

CRITERIA MARKS AWARDED Total

1 2 3 4 5
Application of knowledge (20%)
Communication skills (10%)
Responsibility and integrity (10%)
Initiative and willingness to learn (10%)
Total Marks

Comments on the student’s performance in general

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Industrial Supervisor Details

Name :
Position : _______

Signature : ____________________
Date : _________________________________________________________________

Organization Stamp:

LI-5: Receipt of Industrial Training Technical Report

The completed form should be attached together when submitting the industrial training report. The student should have a
stamped “received” on this form upon submission.

This form should be kept by student as proof of submission.

Student Personal Details

Full Name : ________________________________________________

Matric No. : ________________________________________________
IC No. : ________________________________________________
Program : ________________________________________________
Address : ________________________________________________

The Faculty of Engineering certifies that the Industrial Training report of the above mentioned
student has been received by the Faculty on _____________________.

Received by;

Staff Name : ___________________________________

Signature : ___________________________________

Official FKJ Received Stamp / Date:

LI-6: Leave Application

Applicable to the student under Industrial Training course.

Complete form shall be submitted to the Industrial Training Coordinator.
Reminder: Leave application exceed 3 days requires approval from the Industrial Training Coordinator.
Student Personal Details

Name :
Matric No. : IC No : ___________ _______
Programme : CGPA :
Current Address :

_______
E-mail : Phone / HP: ______ _______

Company Profile

Name of Organization : _______

Address :

Name of Industrial Supervisor :

E-mail : Phone / HP: ______ _______

Leave Information

Date (From): ________________ until: ___________________ No. of Days: _________________

Reason : _____________________________________________________
________________________________________________________________________________

Signature: Date: ___________________________

For LI Coordinator used only.

Bahagian ini perlu diisi sekiranya bilangan cuti yang dipohon melebihi 3 hari.
Potong yang tidak berkenaan.

Result: Approved / Rejected

Industrial Training Coordinator:

Date: