kertas cadangan perubahan skema pemarkahan latihan industri

SST LI.07(Pindaan 2012)m/s 1 drp 2SEKOLAH SAINS DAN TEKNOLOGIUNIVERSITI MALAYSIA SABAHBorang Maklumat PelajarStudent Information FormYour recentpassport sizecolour photoArahan (Instruction):a. Borang ini hendaklah diisi oleh pelajar semasa melapor diri untuk latihan industri.This form must be filled up by student when reporting for the industrial training.b. Borang asal mestilah diserahkan kepada penyelia industri dan MESTI di muatnaik salinannya di portal LI.The original form must be submitted to the industrial supervisor and must upload in the LI portal.________________________________________________________________________________________A. BUTIR-BUTIR DIRI PELAJAR (Student personal details)Nama (Name) : __________________________________________________________________________No. Pelajar (Student No.) : _________________ No IC (Ic No.) : ___________________________________Tarikh Lahir (Date of birth): _______________________ Tempat Lahir (Place of birth) : ________________Bidang Pengajian (Field of study) : _____________________________________________________________Alamat Tetap (Permanent address) : _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Alamat Semasa Latihan Industri: ______________________________________________________________Address during industrial training ________________________________________________________________________________________________________________________________________________________No. Telefon (Phone. No) : _______________________ Telefon Bimbit (Mobile Phone) : _________________Emel (Email) : ______________________________________________________________________________B. APABILA BERLAKU KECEMASAN,ORANG YANG BOLEH DIHUBUNGI:The persons can be contact if emergency:1. Nama (Name) : ___________________________________________________________________________Hubungan (Relationship) : ____________________________________________________________________Alamat (Address) : _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________No. Telefon (Phone. No) : _______________________ Telefon Bimbit (Mobile phone) : _________________2. Nama (Name) : ___________________________________________________________________________Hubungan (Relationship) : ____________________________________________________________________Alamat (Address) : _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________No. Telefon (Phone. No) : _______________________ Telefon Bimbit (Mobile phone) : _________________

SST LI.07(Pindaan 2012)m/s 2 drp 2C. MAKLUMAT BIDANG PENGAJIAN (Field of study information)Nama Penyelaras (Coordinator name) : __________________________________________________________No. Telefon (Phone. no) : _______________________ Telefon Bimbit (Mobile phone) : __________________Nama Ketua Program(Head of Programme name) : ________________________________________________No. Telefon (Phone. no) : _______________________ Telefon Bimbit (Mobile phone) : __________________Alamat Sekolah (School Address) : Sekolah Sains dan Teknologi, Universiti Malaysia Sabah, Jalan UMS,88400 Kota Kinabalu, SabahNo. Tel. Urusetia LI : 088 320000 Samb. 5998 No. Fax (Fax No) : 088 435324D. MAKLUMAT LATIHAN INDUSTRI (Industrial training information)Nama Organisasi (Organization name) : _______________________________________________________Alamat (Address) : ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nama Penyelia (Supervisor name) : ___________________________________________________________Jawatan Penyelia (Supervisor position) : _______________________________________________________Tempoh Latihan (Duration of training) : _______________________________________________________Tarikh Latihan (Training date) : ________________________ hingga (until) ________________________No. Telefon (Phone. no) : _______________________ Telefon Bimbit (Mobile phone) : ________________No. Fax (Fax No) : _____________________________Tandatangan Pelajar : _______________________________Student SignatureTarikh : ______________________Date