It03 and It04

SOMB INDUSTRIAL TRAINING (IT)/IT01
MANIPAL INTERNATIONAL UNIVERSITY

(MIU) IT 01
INDUSTRIAL TRAINING AGREEMENT FORM

TO BE FILLED BY TRAINEE TOGETHER WITH INDUSTRY SUPERVISOR
STUDENT DETAILS
Name Student ID
IC No. / Passport No. Programme
E - Mail Address Intake
Emergency's contact Current semester and

name Intake
Relationship Emergency's contact

Number
Correspondance
Address
DETAILS OF ORGANIZATION
Organization Name General E - Mail Address
Correspondance
Address
Industry Supervisor Contact Number
Designation E - Mail Address
INDUSTRIAL TRAINING DETAILS

Intern's Designation
Start Date of End Date of Industrial

Industrial Training Training
Duration Allowance
JOB DESCRIPTION
1
In agreement to the above Industrial Training placement details
Signed by Trainee Industry Supervisor's Signature and

Stamp
Name : Name :
Date : Date :
APPROVED REJECTED
INDUSTRIAL TRAINING TEAM 2019/2020
Page 1 of 22

(MIU) IT 02
INDUSTRIAL TRAINING REPORT ACKNOWLEDGEMENT

(TO BE FILLED BY INDUSTRY SUPERVISOR)
1. DETAILS OF ORGANIZATION
Organization Name
Correspondance Address
2. ACKNOWLEDGEMENT OF STUDENT’S REPORT

Name Student ID
IC No. / Passport No. Programme
Report Date Intake
3. VERIFICATION BY ORGANISATION REPRESENTATIVE

I hereby verify that the above information is true.
Signature
Name Official Stamp
Date
Phone No Email address
4. FOR OFFICE USE (TO BE FILLED BY THE SCHOOL INDUSTRIAL TRAINING SUPERVISOR)
Received and checked by
Signature
Official Stamp
Name
Date
Remarks
(if there is any):
Page 2 of 22
Page 3 of 22
MANIPAL INTERNATIONAL UNIVERSITY IT 03

(MIU)
INDUSTRY SUPERVISOR ' S ASSESSMENT FORM
STUDENT NAME KEERTAN A/L SUBRAMANIAM PROGRAMME BBAIB
STUDENT ID 1202191009 IC NO. / PASSPORT NO. 000719-01-1537
ORGANIZATION BEYONICS PRECISION (MALAYSIA) SDN BHD INTAKE

19-Mar
INDUSTRY SUPERVISOR MR. LEE KUAN HAUR
NAME
DATE 4-4454 TIME
TOTAL DURATION OF 12 WEEKS

TRAINING (WEEKS)
START DATE COMPLETION DATE

15/10/21
Please state your assessment for the following aspects by circling the relevant number.
Asessment Guide
1 2 3 4 5
(Very Low) (Low) (Average) (High) (Very High)
SECTION I – PERSONAL ASSESSMENT OF STUDENT

A. STUDENT’S DISCIPLINE
1 Demonstrate to follow regulations 11 2 33 4 5
2 Demonstrate to carry out assigned tasks sincerely and loyally 11 2 33 4 5
3 Punctual in carrying out tasks during work 11 2 33 4 5
B. DEDICATION, CONFIDENCE AND CAPABILITY

4 Positive and excited in carrying out tasks 11 2 33 4 5
5 Confident and capable of handling challenging conditions 11 2 33 4 5
C. TEAMWORK
6 Demonstrate Willingness to work a part of team member to carry

11 2 33 4 5
out the given task
11 2 33 4 5
7 Prepared to support other members in areas other than assigned
tasks
D. SOCIALIZIATION AND COMMUNICATION
8 Able to interact and present ideas clearly 11 2 33 4 5
9 Able to give and receive orders clearly and politely 11 2 33 4 5
10 Prepared to ask questions to get information and guidance 11 2 33 4 5
11 Endurance in facing challenging conditions 11 2 33 4 5
Page 4 of 22
Page 5 of 22
SECTION II – WORK PERFORMANCE ASSESSMENT

A. UNDERSTANDING OF RESPONSIBILITIES
11 2 33 4 5
12 Knowledge of assigned tasks
13 Apply fundamental knowledge in carrying out tasks 11 2 33 4 5
B. ABILITY TO CARRY OUT TASKS

14 Able to apply knowledge in carrying out tasks 11 2 33 4 5
C. WORK QUALITY
15 Work output fulfills required quality 11 2 33 4 5
16 Work enthusiasm and atitude 11 2 33 4 5
D. TIME MANAGEMENT
17 Able to carry out a task within the given timeframe 11 2 33 4 5
18 Able to divide time for several tasks within the given timeframe 11 2 33 4 5
E. LEADERSHIP
19 Leadership skills 11 2 33 4 5
F. CONTRIBUTIONS TO ORGANIZATION
11 2 33 4 5
20 Prepared to contribute valuable ideas and work output to the
organisation
OVERALL REMARKS ON STUDENT
Page 6 of 22
INDUSTRY SUPERVISOR 'S REMARK
A. Appropriateness of placement and organization’s scope of training with student’s area of academic study.
B. Comments on student’s behavior and professionalism towards their work and other employees (i.e.
completion of work, punctuality, etc.).
C. Recommendations
Page 7 of 22
GUIDE TO STUDENT’S PERFORMANCE RATING
RATING DETAILS
0–1 Student shows lack of discipline, participation, interest or knowledge of the work / project that
he / she undertakes.
Student shows sufficient interest and knowledge in work, but shows poor discipline performance
1.1 – 2 (punctuality, delay in meeting dateline) or Student shows average discipline performance, but
does not show interest or knowledge of the project that he / she undertakes
2.1 – 3 Student shows sufficient amount of interest and knowledge, and demonstrates average discipline
performance
3.1 – 4 Student shows good knowledge and interest in his / her tasks, shows dedication towards project,
demonstrates good discipline performance
4.1 – 5 Student demonstrates outstanding performance, understands and shows full dedication towards
work, demonstrates very good discipline
TOTAL MARKS IN PERCENTAGE (%)
Total Marks = _________ X 20 %
100
Industry Supervisor’s Signature & Stamp
Date :
Note:
To Industry Supervisor:
a. This form is to be used by the industry supervisor to assess students’ accomplishments in the duration of Industrial
Training
b. Please return this assessment form to:
Ms. Maheran Mohamed

Industrial Training Coordinator
School of Management and Business (SOMB)
No. 1 Persiaran MIU,
Manipal International University (MIU),
71800 Nilai, Negeri Sembilan,
Malaysia.
Page 8 of 22

(MIU)
INDUSTRIAL TRAINING PRESENTATION ASSESSMENT FORM BY INDUSTRY SUPERVISOR
STUDENT NAME KEERTAN A/L SUBRAMANIAM PROGRAMME BBAIB
IC NO. / PASSPORT
STUDENT ID 1202191009 NO. 000719-01-1537
BEYONICS PRECISION (MALAYSIA) SDN

ORGANIZATION BHD INTAKE 19-Mar
INDUSTRY SUPERVISOR NAME MR. LEE KUAN HAUR
Asessment Guide
1 2 3 4 5
A. PRESENTATION
1 Appearance 1 2 3 4 5
2 Style or Language 1 2 3 4 5
3 Fluency 1 2 3 4 5
4 Clarity 1 2 3 4 5
5 Accurateess 1 2 3 4 5
B. CONTENT
6 Introduction to organization 1 2 3 4 5
7 Details of tasks carried out 1 2 3 4 5
8 Introduction to selected issues 1 2 3 4 5
9 Discussion of issues 1 2 3 4 5
10 Accuracy of analysis on issues 1 2 3 4 5
11 Recommendations for solving issues 1 2 3 4 5
12 Extra skills acquired 1 2 3 4 5
13 Conclusion 1 2 3 4 5
Page 9 of 22
C. USE OF ICT AND PRESENTATION AIDS
14 Diagrams/Tables 1 2 3 4 5
15 Clarity 1 2 3 4 5
16 Slide order/Slide contents/Compactness 1 2 3 4 5
17 Creativity and innovation 1 2 3 4 5
D. QUESTION AND ANSWER SESSION
18 Comprehension 1 2 3 4 5
19 Accuracy 1 2 3 4 5
20 Clarity 1 2 3 4 5
COMMENTS:
Page 10 of 22
RATING DETAILS
Student shows lack of discipline, participation, interest or knowledge of the work / project that he /
0–1 she undertakes.
1.1 – 2 (punctuality, delay in meeting dateline) or Student shows average discipline performance, but does
not show interest or knowledge of the project that he / she undertakes
Student shows sufficient amount of interest and knowledge, and demonstrates average discipline
2.1 – 3 performance
Student shows good knowledge and interest in his / her tasks, shows dedication towards project,
3.1 – 4
Total Marks = _________ X 10 %
100
Industry Supervisor’s Signature & Stamp

Date :
Note:
To Industry Supervisor:
a. This form is to be used by the industry supervisor to assess students’ Industrial Training Presentation
Ms. Maheran Mohamed

Malaysia.
Page 11 of 22

(MIU) IT 05
ACADEMIC SUPERVISOR 'S ASSESSMENT FORM
STUDENT NAME PROGRAMME
STUDENT ID IC NO. / PASSPORT NO.
ORGANIZATION INTAKE
ACADEMIC SUPERVISOR
DATE TIME
TOTAL DURATION OF
TRAINING (WEEKS)
START DATE COMPLETION DATE
Asessment Guide
1 2 3 4 5
A. LOGBOOK RECORDING
1 Organisation of report 1 2 3 4 5
2 Content of report 1 2 3 4 5
3 Consistency of report updates 1 2 3 4 5

B. OBSERVATIONS
4 Punctuality of arrival for work 1 2 3 4 5
5 Expression of speech 1 2 3 4 5
6 Relevance and suitability of apparel 1 2 3 4 5
7 Self-confidence 1 2 3 4 5
Page 12 of 22
C. STUDENT'S KNOWLEDGE
8 Recognizing organization’s objectives, goals and structure 1 2 3 4 5
9 Recognizing organization’s system or method of 1 2 3 4 5

implementation
10 Understanding of responsibilities 1 2 3 4 5
11 Capability of carrying out responsibilities 1 2 3 4 5
12 Capability of detecting problems 1 2 3 4 5
13 Capability of presenting views on detected problems 1 2 3 4 5
14 Important contributions to organization 1 2 3 4 5
15 Ability of presenting a positive image of MIU 1 2 3 4 5
ACADEMIC SUPERVISOR 'S REMARK
A. Appropriateness of placement and organization’s scope of training with student’s area of academic study
B. Appropriateness of organization for MIU's Industrial Training placement in the future.
C. Recommendations
Page 13 of 22
Page 14 of 22
RATING DETAILS
Student shows lack of discipline, participation, interest or knowledge of the work / project that
0–1
he / she undertakes.
2.1 – 3 Student shows sufficient amount of interest and knowledge, and demonstrates average discipline
performance
3.1 – 4 Student shows good knowledge and interest in his / her tasks, shows dedication towards project,
Total Marks = _________ X 20 %
75
Academic Supervisor’s Signature & Stamp
Date :
Note:
To Academic Supervisor:
a. This form is to be used by the MIU Advisor when visiting and evaluating Industrial Training activities
Ms. Maheran Mohamed

Malaysia.
Page 15 of 22

(MIU)
INDUSTRIAL TRAINING PRESENTATION ASSESSMENT FORM BY ACADEMIC SUPERVISOR
STUDENT ID IC NO. / PASSPORT NO.
ORGANIZATION INTAKE
ACADEMIC SUPERVISOR
Asessment Guide
1 2 3 4 5
A. PRESENTATION
1 Appearance 11 2 3 4 55
2 Style/Language 11 2 3 4 55
3 Fluency 11 2 3 4 55
4 Clarity 11 2 3 4 55
5 Accurateess 11 2 3 4 55
B. CONTENT
6 Introduction to organization 11 2 3 4 55
7 Details of tasks carried out 11 2 3 4 55
8 Introduction to selected issues 11 2 3 4 55
9 Discussion of issues 11 2 3 4 55
10 Accuracy of analysis on issues 11 2 3 4 55
11 Recommendations for solving issues 11 2 3 4 55
12 Extra skills acquired 11 2 3 4 55
13 Conclusion 11 2 3 4 55
Page 16 of 22
C. USE OF ICT AND PRESENTATION AIDS
14 Diagrams/Tables 11 2 3 4 55
15 Clarity 11 2 3 4 55
16 Slide order/Slide contents/Compactness 11 2 3 4 55
17 Creativity and innovation 11 2 3 4 55
D. QUESTION AND ANSWER SESSION
18 Comprehension 11 2 3 4 55
19 Accuracy 11 2 3 4 55
20 Clarity 11 2 3 4 55
COMMENTS:
Page 17 of 22
RATING DETAILS
Student shows lack of discipline, participation, interest or knowledge of the work / project that
0–1 he / she undertakes.
Student shows sufficient amount of interest and knowledge, and demonstrates average discipline
2.1 – 3
performance
Student shows good knowledge and interest in his / her tasks, shows dedication towards project,
3.1 – 4 demonstrates good discipline performance
Total Marks = _________ X 10 %
100
Date :
Note:
a. This form is to be used by the academic supervisor to assess students’ Industrial Training Presentation
Ms. Maheran Mohamed

Malaysia.
Page 18 of 22

(MIU) IT 07
INDUSTRIAL TRAINING LOG SHEET
STUDENT DETAILS
Name Student ID
E - Mail Address Programme

Emergency's contact Current semester and
name Intake
Emergency's contact
Relationship Number
Correspondance
Address
EMPLOYER DETAILS
Organization Name Department
Correspondance
Address
Industry Supervisor Contact Number
Designation E - Mail Address
TOTAL MARKS : 10 %
Date :
Note:
a. This form is to be used by the academic supervisor to assess Log Sheet Report of Industrial Training
Ms. Maheran Mohamed

Malaysia.
Page 19 of 22
(MIU)
FINAL REPORT ASSESSMENT
STUDENT ID IC NO. / PASSPORT

NO.
ORGANIZATION INTAKE
ACADEMIC SUPERVISOR
NO. AREA SCORE
1 Executive Summary Executive summary of organisation’s goals and

activities, tasks conducted and outcome of tasks / 10
a. Name, address of organisation

2 Introduction to b. Type of activities conducted by organisation /5
Organization c. Organisational chart
d. Maps or illustration (if any)
a. Introduction to selected issues

b. Discussion of issues
3 Content c. Accuracy of analysis of issues /50
d. Additional skills acquired
e. Conclusion
a. Summary of experiences and skill acquired

b. Relation to theory in MIU programme
4 Experience and Skills c. Acquired knowledge that helped in training /5
Acquired d. Student’s contribution to organisation
e. Organisation’s contribution to student
f. Communication/networking conducted
a. Lack of knowledge and theory to be improved

5 Problem Areas b. Lack of skills to be improved /10
c. Communication skills to be improved
6 Summary Overall summary of training /10
a. Format, language and grammar

b. Clarity and neatness
Completeness of
7 Report c. Acknowledgements /10
d. Presentation diagrams and tables
e. References/appendices
TOTAL /100
Total Marks =
_________ X 30 %
100

Date :
Note:
a. This form is to be used by the academic supervisor to assess Final Report of Industrial Training
Ms. Maheran Mohamed

Malaysia.
Page 20 of 22

(MIU) IT 09
INDUSTRIAL TRAINING OVERALL ASSESSMENT

IC NO. / PASSPORT
STUDENT ID NO.
ORGANIZATION INTAKE
ACADEMIC SUPERVISOR
PERCENTAGE OF PERCENTAGE OF SCORE

NO. DETAILS ASSESSMENT (%) (%)
1 INDUSTRY SUPERVISOR ' S ASSESSMENT FORM (IT 03) 20
INDUSTRIAL TRAINING PRESENTATION ASSESSMENT

2 10
FORM BY INDUSTRY SUPERVISOR (IT 04)
3 ACADEMIC SUPERVISOR 'S ASSESSMENT FORM (IT 05) 20
INDUSTRIAL TRAINING PRESENTATION ASSESSMENT

4 FORM BY ACADEMIC SUPERVISOR (IT 06) 10
5 LOG SHEET (IT 07) 10
6 FINAL REPORT ASSESSMENT (IT 08) 30
TOTAL 100
Date :
Note:
a. This form is to be used by the academic supervisor to assess overall assessment of Industrial Training
Ms. Maheran Mohamed

Malaysia.
Page 21 of 22
(MIU) LOG SHEET
WEEKLY TRAINING LOG SHEET
Training Week
(Please specify training information by descriptive statement, tables, sketches, figures and etc.)
DATE TIME ENTRY
Note: Please include attachment whenever necessary
Declaration :
I hereby declare that all information provided above is true.
Signed by Trainee Academic Supervisor’s Signature & Stamp
Date :
Date :
Page 22 of 22

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SOMB INDUSTRIAL TRAINING (IT)/IT01

MANIPAL INTERNATIONAL UNIVERSITY

INDUSTRIAL TRAINING AGREEMENT FORM

IC No. / Passport No. Programme

E - Mail Address Intake

Emergency's contact Current semester and

Relationship Emergency's contact

Industry Supervisor Contact Number

Designation E - Mail Address

INDUSTRIAL TRAINING DETAILS

Start Date of End Date of Industrial

In agreement to the above Industrial Training placement details

Signed by Trainee Industry Supervisor's Signature and

INDUSTRIAL TRAINING TEAM 2019/2020

MANIPAL INTERNATIONAL UNIVERSITY

INDUSTRIAL TRAINING REPORT ACKNOWLEDGEMENT

2. ACKNOWLEDGEMENT OF STUDENT’S REPORT

IC No. / Passport No. Programme

Report Date Intake

3. VERIFICATION BY ORGANISATION REPRESENTATIVE

Name Official Stamp

Phone No Email address

Received and checked by

INDUSTRIAL TRAINING TEAM 2019/2020

MANIPAL INTERNATIONAL UNIVERSITY IT 03

INDUSTRY SUPERVISOR ' S ASSESSMENT FORM

STUDENT NAME KEERTAN A/L SUBRAMANIAM PROGRAMME BBAIB

STUDENT ID 1202191009 IC NO. / PASSPORT NO. 000719-01-1537

ORGANIZATION BEYONICS PRECISION (MALAYSIA) SDN BHD INTAKE

DATE 4-4454 TIME

TOTAL DURATION OF 12 WEEKS

START DATE COMPLETION DATE

(Very Low) (Low) (Average) (High) (Very High)

SECTION I – PERSONAL ASSESSMENT OF STUDENT

2 Demonstrate to carry out assigned tasks sincerely and loyally 11 2 33 4 5

3 Punctual in carrying out tasks during work 11 2 33 4 5

B. DEDICATION, CONFIDENCE AND CAPABILITY

5 Confident and capable of handling challenging conditions 11 2 33 4 5

6 Demonstrate Willingness to work a part of team member to carry

8 Able to interact and present ideas clearly 11 2 33 4 5

9 Able to give and receive orders clearly and politely 11 2 33 4 5

10 Prepared to ask questions to get information and guidance 11 2 33 4 5

11 Endurance in facing challenging conditions 11 2 33 4 5

SECTION II – WORK PERFORMANCE ASSESSMENT

13 Apply fundamental knowledge in carrying out tasks 11 2 33 4 5

B. ABILITY TO CARRY OUT TASKS

16 Work enthusiasm and atitude 11 2 33 4 5

OVERALL REMARKS ON STUDENT

INDUSTRY SUPERVISOR 'S REMARK

GUIDE TO STUDENT’S PERFORMANCE RATING

TOTAL MARKS IN PERCENTAGE (%)

Total Marks = _________ X 20 %

Industry Supervisor’s Signature & Stamp

Ms. Maheran Mohamed

INDUSTRIAL TRAINING TEAM 2019/2020

MANIPAL INTERNATIONAL UNIVERSITY IT 04

INDUSTRIAL TRAINING PRESENTATION ASSESSMENT FORM BY INDUSTRY SUPERVISOR

STUDENT NAME KEERTAN A/L SUBRAMANIAM PROGRAMME BBAIB

BEYONICS PRECISION (MALAYSIA) SDN

INDUSTRY SUPERVISOR NAME MR. LEE KUAN HAUR

(Very Low) (Low) (Average) (High) (Very High)

7 Details of tasks carried out 1 2 3 4 5

8 Introduction to selected issues 1 2 3 4 5