Universiti Malaysia Perlis

UniMAP
Centre for Industrial and Governmental Collaboration (CIGC)

InTra VERIFICATION FORM

Section 1 To be completed by student

School of Business Innovation and Technopreneurship

Student Name:

Muhammad Fakhruddin Bin Mohd Fazil

Programme:

International Business

Matric No : 141243128
Hp. No :

01135152060

Host Company: Syarikat Agensi MAA Takaful Muhamad Asri Sdn Bhd
No 75A, Kompleks Persiaran Utama, Lebuhraya Sultanah Bahiyah, 05150, Alor
Setar, Kedah.

Address:

Section 2 To be completed by Host Company

This is to confirm that

Muhammad Fakhruddin Bin Mohd Fazil

Has registered for training starting

11 July 2016

on: atSyarikat Agensi MAA Takaful Muhamad Asri Sdn Bhd

Jln Dua, Kompleks Tok Arau, (Jln Arau-Kodiang,), 02600 Arau, Perlis
Malaysia

Name

Position

Phone Number :

Email

Fax

Signature

**Student should return this form within one week after reporting for duty at the
Host Company
Centre for Industrial and Governmental Collaboration (CIGC)
Aras 2, Bangunan Pentadbiran Pusat Kejuruteraan & Inovasi,
Kampus Tetap UniMAP Pauh Putra,
02600 Arau, Perlis, Malaysia
acacic@unimap.edu.my

UNIVERSITI MALAYSIA PERLIS

HOST COMPANY SATISFACTION SURVEY
School: PPIPT

Date: .

Program : International Business

Gender : M / F

Company: ..

This questionnaire is part of a continuing effort by the University to improve teaching and learning.
Using the scales given, answer all the questions that apply to you by shading the corresponding box that best reflects your view. Use the spaces provided at the bottom if you have additional opinion
Use the following scale and tick accordingly.Example

Strongly
Disagree

Disagree

Neutra
l

Agree

Strongly Agree

1.The Industrial Training has been carried out excellently -----------------------------------------------

10.

2.

The intern is equipped with the ability to acquire and apply knowledge-----------------------

3.

The intern is able to identify, formulate and solve engineering problems ----------------------

4.

The intern is able to design a component, process or system to meet desired need ------

5.

The intern is able to design, conduct and evaluate experiments output ----------------------

6.

The intern is able to use modern engineering tools for engineering practice------------------

7.

The intern is aware of contemporary issues (political, cultural, global)----------------- ---------

8.

The intern is aware of the need for sustainable development of the environment-----------

9.

The intern understands professional and ethical responsibilities to community----------------

The intern is able to function on multi-disciplinary teams ---------------------------------------------11.

The intern is able to communicate

effectively------------------------------------------------------------12.

The intern understands the need for and have the ability to engage in lifelong learning

13.

The intern understands the fundamentals of project management and

finance principles

What is the quality required from the intern during industrial training?

What is the best quality of UniMAP's student during industrial training?

- THANK YOU FOR YOUR TIME -

SUMMARY OF THE WEEKLY REPORT

Week

Date

Assignment

Page

Supervisors
Stamp

Week

10

11

12

Date

Assignment

Page

Supervisors
Stamp

UNIVERSITI MALAYSIA PERLIS

School of
INDUSTRIAL TRAINING:
[PROGRESS LOG BOOK]
(To be checked by School Supervisor)
Student name

IC No.

Programme

Matric No.

Host company name

Date

No

Criteria

Assessment
No summary / Poorly stated

Summary of the
weekly report

Complete content / Fairly stated

Format
(Summary of
the weekly
report, date,
time, week,
activity title,
supervisor,
department and
signature)

Empty or poorly complete the

requirement / Disorganized

Complete content / Different

activities / Clearly stated

Fairly complete the

requirement / Neat
Complete all the requirement / Neat
No progress at all or less than 1/4
Fairly complete or less than 3/4

Progress of the
report content (up
to the week of
visit)

Complete up to the week of visit

Please
tick ( )
where
applicable

Comment

Major error / Missing content /

Very sloppy
4

Activities Report

A significant omission of error /

Neat
Fairly no error / Neat

Relate the
activities with
theoretical
knowledge;
State clearly
courses code &
name
Pictures,
diagrams,
drawing etc
are attached as
evidence

Unstated or wrongly stated

1 to 2 courses stated
More than 2 courses stated
Irrelevant or no attachment
Attached with minimal explanation
Attached with satisfactory
explanation
No signature

Signatures of
the supervisor
for verification
purposes

Verified 1 to 3 times
Verified 4 times and above

Comment (If any):

Name

Designation :
Signature

Date

1121212

Week:

Date:

Time:

Activity Title:
Supervisor:

Department:

ACTIVITY REPORT

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InTra Form
Contents
No
1

Item
InTra 03

InTra 04

Action

Notes

To be completed by
Host Company

Return the completed

form to the school
supervisor during
visit

To be completed by
visiting lecturer

Return the completed

form to InTra
Coordinator of the
respective school

InTra 03
INDUSTRIAL TRAINING EVALUATION FORM
(To befilled by the Host Company)
Student Name :
Programme :
Host Company Name

IC No. :
Matric No. :
:

___

__

__

___

__

Please answer all items and tick () at appropriate column.

POOR
1

UNSATIS
FACTORY
2

AVERAGE

GOOD

EXCELLENT

A. Performances
1. Knowledge about Workplace
2. Understand the Job Scope
3. Work Quality
4. Job on Time
5. Time taken to acquire work skills
6. Minimal Supervision
7. Ability To Apply Knowledge
B. Personality and Attitude
1. Initiative
2. Motivation
3. Work Attitude
4. Commitment
5. Discipline
6. Punctuality
7. Responsibility
8. Adaptability to Duty
9. Professional Appearance
10. Self Confidence
C. Skills
1. Presentation
2. Writing
3. Decision Making
4. Leadership
5. Problem Solving
6. Negotiation
7. Stress Management
8. Teamwork
Total marks
/ 125
Will you hire this student upon his graduation from UniMAP?
If NO, please specify the reason :

YES

NO

...........................................................................................................................................................................................
...........................................................................................................................................................................................

Signature

Name

:
(Please endorsed with official stamp)

Position

(Please return the completed form to the school supervisor during visit)

InTra 04
INDUSTRIAL TRAINING EVALUATION FORM
(To befilled by Visiting Lecturer)

Student Name

IC No.

Programme

Matric No.

Host Company
Name

Date

ITEM
1
2
3
4
5
6

ASSESSMENT

TOTAL MARKS

Attire & Appearance

Attitude & Personality
Response towards questions regarding overall task performed
Response towards questions regarding major activities
Response towards questions regarding one activities from logbook
Clarity

/3
/3
/3
/3
/3
/3
------ x 20 % =

TOTAL MARKS (20%) 18

Does the student has potential Final Year Project (FYP) title(s) from the industry? YES

NO

If YES, please specify the title :

...........................................................................................................................................................................................

Signature

Name

:
(Please endorsed with official stamp)

Date

TO BE FILLED BY
InTra
COORDINATOR
Contents
No

Item

InTra 05

InTra 06

Rubrik InTra 04

Rubrik InTra 05

Acknowledgement Of Completion of Industrial Training

** To be completed by the Host Company

InTra 05
INDUSTRIAL TRAINING EVALUATION
(To be evaluated by in InTra Coodinator)
Student Name
Programme
Host Company Name

ITEM

IC No.
Matrix No.
Date

ASSESSMENT

MARK

LOGBOOK

1
2

Summary of the weekly report

Format (Summary of the weekly report, date, time, week, activity title,
supervisor, department)
Content of the full report
Activities Report
Relate the activities with theoretical knowledge
Attach pictures, diagrams, drawing etc as evidence
Signatures of the supervisor for verification purposes

3
4
5
6
7

SUB-TOTAL (25%)

FINAL REPORT: STRUCTURE/FORMAT

1
2
3
4
5
6

Apply knowledge of basic math, science & engineering

Activities Report
Relate the activities with theoretical knowledge
Work quality / problem solving
Describe new knowledge / experience gained
Project

/3
/3
/3
/3
/3
/3
/3
---- x 25 % =
21

/3
/3
/3
/3
/3
/3
SUB-TOTAL (25%)

---- x 25 % =
18

TOTAL MARKS (50%)

Comment (If any):
__

__

__

__

__

__

Signature

Name

:
(Please endorsed with official stamp)

Date

InTra 06
INDUSTRIAL TRAINING - OVERALL EVALUATION

Student Name

IC No.

Programme

Matric No.

Host Company
Name

Date

No

Aspect

Evaluator

Full Mark (%)

Host Company Supervisor

30

Host Company Evaluation

Visit

Panel of Examiner

20

Log Book & Report

InTRA Coordinator

50

Total Marks

Comment (If any):

Signature
Name
Date

:
:
(Please endorsed with official stamp)

100

Mark (%)

Rubric InTra 04
RUBRIC VISIT AND DISCUSSION
Assessment
No

Criteria
1

Attire &
Appearance

Bad appearance and attire

Moderately appearance and attire

Excellent appearance and attire

Attitude &
Personality

Bad attitude, no commitment and

dedicated

Hardworking, give acceptable commitment

and dedication.

Poor response and feedback

Good response and feedback but lack of

explanation

Poor response and feedback

Good response and feedback but lack of

explanation

Poor response and feedback

Good response and feedback but lack of

explanation

Poor pronunciation and a lot of

grammatical error.

Moderate pronunciation with some

grammatical error.

Excellent pronunciation with almost no

grammatical error.

Low/unclear voice

Monotonous tone of voice

Use suitable tone of voice

Not able to guide audience to follow

presentation

Able to guide audience to follow

presentation

Able to guide audience to follow

presentation

Response towards
questions
regarding overall
task performed
Response towards
questions
regarding major
activities
Response towards
questions
regarding any
activities from
logbook

Clarity

Very hardworking, give full commitment

and dedication.

Excellent response and feedback with

sufficient explanation

Excellent response and feedback with

sufficient explanation

Excellent response and feedback with

sufficient explanation

Rubric InTra 05
Rubric Logbook
No

Assessment

Criteria
1

Summary of the weekly

report

Significantly missing content

Poorly stated

Format
(Summary of the weekly
report, date, time, week,
activity title, supervisor,
department)

Poorly complete the

requirement
Unorganized

Content of the full report

Activities Report

Relate the activities with

theoretical knowledge

6
7

Attach pictures,
diagrams, drawing etc as
evidence
Signatures of the
supervisor for
verification purposes

2
Complete content
Significantly have repetition
in activities
Fairly stated

3
Complete content
Different activities
Clearly stated

Fairly complete the

requirement
Neat

Complete all the requirement

Neat

Less than 1/4

Complete less than 3/4

Complete up to the last week

Major error, missing content,

very sloppy
Relationship between the
theory and activity is not
stated.

A significant omission of
error, Neat
Relationship between the
theory and activities are
clearly.

Fairly no error
Neat

Irrelevant attachment

Attach with little explanation

Attach with satisfactory

explanation

Verified 1 to 3 times

Verified 4 to 6 times

Verified 7 times and above

Relationship between the theory

and activities are clearly stated.

Rubric InTra 05
Rubric - Report (Content)
No

Assessment

Criteria
1

Apply knowledge of
basic math, science
& engineering

Fail or insufficiently to
demonstrate the use of
mathematics, science and
engineering.

2
Readily
use
mathematics,
science and engineering as ways
to think, gain and share
knowledge.

3
Readily use mathematics, science and
engineering as ways to think, gain and
share knowledge, solve problems and
make decisions/ recommendation.
Activities are discussed in detail,
providing an in-depth look into the task
performed.
Personal reactions/comments are
provided for at least some entries

Activities Report

Detail is missing or fail to

illustrates what activities
were logged/observed etc.

An appropriate amount of detail is

used to explain the activities
logged/ observed, etc. No personal
reactions/comments stated.

Relate the activities

with theoretical
knowledge

Explanation is missing or
fail to relate the theory
with activities
perform/observed

An appropriate amount of detail is

used to explain the relationship.
No personal reactions/comments
provided.

Relationship between the theory and

activities are discussed in detail.
Personal reactions/comments are
provided for at least some entries

Work
quality/Problem
solving

Fail or insufficient quality

to meet expectations.

Average skill to identify problems

and propose solution

Competent skill to identify problems,

propose solutions, make
recommendations or decisions to improve
current design or practice

Describe new
knowledge /
experience gained

No new knowledge /
experience explained

New knowledge / experience

clearly stated but not related to the
task given

Both new knowledge and experience

explained clearly and applied to the
training

Project

No project handled

Completed the project given

but without detail explanation
or
no
support
evidence
provided

Completed the project given.

The project are discussed in detail,
providing an in-depth look into the task
performed.
Personal reactions/comments are
provided for at least some entries

Date :

Centre for Industrial and Govermental Collaboration

Universiti Malaysia Perlis

Dear Sir/Madam,
Acknowledgement of Completion of Industrial Training
This is to certify that (Student
Name) of UniMAP with IC number:..has completed his/her
industrial training successfully

in

....(Company
training
..weeks.

Thank you.

Yours sincerely,

Name:
Position:

Name).
is

The duration

of

the