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KTP/P&P/1(2014)

(Versi 2 – 9 Mei 2014)

Projek Agenda Kritikal - Program Pemindahan Ilmu Critical Agenda Project - Knowledge Transfer Programme

BORANG PENILAIAN PANEL PENILAI

LAWATAN PENILAIAN DAN KAJIAN KEBERKESANAN

PROGRAM PEMINDAHAN ILMU

ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)


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MAKLUMAT PROJEK /DETAILS OF PROJECT (SILA LAMPIRKAN GAMBAR-GAMBAR BERKAITAN DENGAN PROJEK YANG DINILAI/ PLEASE APPEND RELEVANT PHOTOS RELATED TO THE PROJECT)

KETUA PROJEK: Project’s leader:

PENGURUS INDUSTRI/KOMUNITI: Person In Charge: Industry/Community

NAMA: Name: JAWATAN: Designation:

TAJUK PROJEK: Project’s Title:

KOD RUJUKAN PROJEK: Project Reference Code:

TEMPOH PROJEK Project Duration:

Mula/ Start: Tamat/ End: (Tarikh/Bulan/Tahun) (Tarikh/Bulan/Tahun)


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LOKASI PENILAIAN Assessment Location:

Nama Industri/ Komuniti : Name of Industry/ Community Alamat/ Address :

ILMU YANG DIPINDAHKAN (Sila senaraikan): Knowledge being transferred (Please list):

PEMBENTANG: Sila tandakan (/) Presenter: Please tick (/)

Ketua Projek/ Project Leader Graduan Pelatih/ Graduate Intern

Wakil Industri/Komuniti Industry/Community Representative


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A. PENCAPAIAN PROJEK /PROJECT ACHIEVEMENT (40%) (SILA TANDAKAN KOTAK YANG BERKENAAN/ PLEASE TICK THE APPROPRIATE BOX)

1. Pencapaian Objektif Objective Archievement

2. Pencapaian penting

Milestone Achievement

3. Penggunaan sumber-sumber dan kemudahan di organisasi Industri/ Komuniti. Utilization of resources and facilities at Industry/Community Organization.

Sila tanda (/) jenis sumbangan yang diberikan oleh organisasi.

a. Sumber Kewangan Financial Resources

b. Kakitangan Personnel

c. Kemudahan Facilities

d. Teknologi Technology

e. Bahan dan Peralatan Material and Equipment

Significantly Exceed

Poor Below Target On Target Exceed Target Target 1 2 3 4 5


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4. Prestasi Masa Timing performance

5. Prestasi kewangan geran KTP KTP grant financial performance

6. Hasil Kuantitatif Projek

Quantitative Project Output

7. Keberhasilan Kuantitatif Projek Quantitative Project Outcome

8. Hasil Kualitatif Projek Qualitative Project Output

9. Keberhasilan Kualitatif Projek

Project Qualitative Outcome

10. Sumbangan Signifikan kepada: Significant Contribution to:

a. Akademia

Academia

b. Graduan Pelatih Graduate Intern




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c. Organisasi Industri/ Komuniti Industry / Community Organization

d. Universiti di mana akademia

berkhidmat University where the academia serves

11. Penilaian Keseluruhan

Overall Assessment




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B. PENILAIAN KE ATAS AKADEMIA / ASSESSMENT ON ACADEMIA (10%)

1. Ilmu yang dipindahkan berjaya menyelesaikan masalah rakan strategik Level of Knowledge being transferred solved project partner’s problems.

2. Keupayaan memberi bimbingan

atau nasihat Coaching and advices that has been given.

3. Pengetahuan yang mendalam terhadap bidang projek tersebut. In depth knowledge on the project.

4. Komitmen akademia terhadap projek. Commitment shown by academia to the project.

5. Pencapaian keseluruhan academia. Overall achievement by the academia.




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Sila berikan penilaian ke atas perkara berikut sekiranya ada: Please evaluate the following if any:

6. Penerbitan Publication

7. Pencapaian Inovasi yang baharu New Innovation achieved Eg: Paten, new findings, new curriculum etc

8. Pengiktirafan berkaitan yang

diperolehi dalam tempoh atau selepas projek Recognition related achieved Eg: Technical Consultant, Board Member etc

C. PENILAIAN KE ATAS GRADUATE INTERN/ ASSESSMENT ON GRADUATE INTERN (10%)

1. Pemahaman terhadap projek Understanding of the project

2. Penguasaan terhadap ilmu yang dipindahkan Level of knowledge been transferred

3. Komitmen Commitment




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4. Kemajuan kerjaya semasa atau selepas projek tamat Career Development Cth: Diambil bekerja secara tetap, melanjutkan pengajian.

5. Etika kerja

Work ethic

6. Kemahiran Memimpin Ability to Lead

7. Kemahiran Dwibahasa Ability to communicate in dual language

8. Kemahiran Berfikir (Higher

Thinking Order Skill)




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D. PENILAIAN TERHADAP ORGANISASI INDUSTRI/KOMUNITI /EVALUATION ON THE ORGANIZATION OF THE INDUSTRY/ COMMUNITY (10%)

1. Penerimaan oleh industri/ komuniti: Acceptance by the industry/ community 2. Tahap amalan ke atas ilmu yang dipindahkan: Level of application of the knowledge transferred 3. Kerjasama dan komitmen oleh industri/ komuniti Cooperation and commitment showed by industry/ community

Significantly

Exceed Poor Below Target On Target Exceed Target Target

1 2 3 4 5


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E. SILA SENARAIKAN PENERIMA MANFAAT (JIKA ADA)/ PLEASE STATE BENEFICIARIES (IF ANY)


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F. KOMEN KESELURUHAN/ OVERALL COMMENTS

Berasaskan penilaian anda, sila beri ulasan berdasarkan komponen berikut: Based on your assessment, kindly provide your comment as follows:

1. Perkara/ Pencapaian yang boleh dibanggakan. (Commendable Areas)

2. Perkara untuk diperbaiki. (Affirmative Areas )


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G. LAIN-LAIN CATATAN/ OTHER REMARKS

H. AKUAN PANEL PENILAI/ DECLARATION BY ASSESSORS

NAMA DAN TANDATANGAN PANEL PENILAI Assessor Names and Signatures :

1. ____________________________________ __________________________ ___________________________ Nama Ketua Pasukan Penilai Tandatangan Tarikh

2. ____________________________________ __________________________ ___________________________ Nama Ahli Pasukan Penilai Tandatangan Tarikh


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I. UNTUK KEGUNAAN PEJABAT/ FOR OFFICE USE

Tarikh Diterima : __________________________ Nama dan Tandatangan Pegawai : __________________________ Markah Seksyen A: Pencapaian Projek

Seksyen B: Akademia

Seksyen C: Graduate Intern

Seksyen D: Industry/ Community Organization

Markah Penilaian Industri/ Komuniti ke atas projek (KTP/P&P/IK(2014))

Jumlah Markah : _____________ (100%)

___ x 0.40 = ____ 55 ___ x 0.10 = ____ 25 ___ x 0.10 = ____ 40 ___ x 0.10 = ____ 15 ___ x 0.30 = ____ 50

Pejabat Penilaian KTP

Program Pemindahan Ilmu

Suite 242 A & B Kompleks Eureka

Universiti Sains Malaysia

11800, Pulau Pinang.

No Tel: 04 – 653 6186

No Fax: 04 – 653 6187

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