IKBNKN-CHI-01-02

INSTITUT KEMAHIRAN BELIA NEGARA KINARUT

BORANG PENYELIAAN DAN PENILAIAN LATIHAN INDUSTRI

(FORM OF SUPERVISION AND EVALUATION OF INDUSTRIAL TRAINING)

BAHAGIAN A : MAKLUMAT PELAJAR DAN MAJIKAN (DIISI OLEH PELAJAR)

SECTION A : STUDENT AND EMPLOYER INFORMATION (FILLED UP BY STUDENTS)

NAMA PENUH :
FULL NAME
NO. KAD PENGENALAN :
IDENTIFICATION CARD NO.
JURUSAN :
MAJOR
SESI PENGAMBILAN :
RECRUITMENT SESSION

Skala / Scale 1 2 3 4 5
Kriteria Kurang
Lemah Memuaskan Baik Cemerlang
Pemarkahan Weak Memuaskan Fair Good Excellent
(Scoring Criteria) Poor

BAHAGIAN B (SECTION B):

i. PENILAIAN TERHADAP PELAJAR (DIISI OLEH MAJIKAN / WAKIL MAJIKAN) :

I: ASSESSMENT OF STUDENTS (TO BE COMPLETED BY THE EMPLOYER / EMPLOYER
REPRESENTATIVE):

Sila tandakan (/) pada kotak yang berkenaan

Please tick (/) in the appropriate box. 1 2 3 4 5
1. Pengetahuan Mengenai Tempat Kerja
Workplace Knowledge
2. Kebolehan Mematuhi Arahan
Follow Instructions
3. Kebolehan Am / Teknikal
General / Technical Ability
4. Ketekunan dan Minat
Persistence and Interest
5. Penyesuaian Diri dengan Tugas
Self-adjustment to Work Task
6. Inisiatif / Kualiti Hasil Kerja
Initiatives / Work Quality
7. Disiplin dan Ketepatan Masa
Discipline and Punctuality
8. Personaliti dan Kemahiran Komunikasi
Personality and Communication Skills
JUMLAH MARKAH
/40
Total Score
 ii. NYATAKAN KELEMAHAN PELAJAR YANG PERLU DIPERBAIKI (JIKA ADA)
PLEASE STATE STUDENT’S WEAKNESS THAT NEED TO BE IMPROVED (IF ANY)

…………………………………………………………………………................................…………..……....

……………………………………………………………………………………...………..

……………………………………………………………………………………...…………

iii. ADAKAH SYARIKAT TUAN BERMINAT UNTUK MENERIMA PELAJAR IKBN KINARUT
MENJALANKAN LATIHAN INDUSTRI PADA MASA HADAPAN?
IS YOUR COMPANY INTERESTED IN ACCEPTING IKBN KINARUT STUDENT FOR INDUSTRIAL TRAINING
IN THE FUTURE?

Ya / Yes Tidak / No
Jika ya, nyatakan bilangan pelajar
If yes, indicate the number of students

……………………………..........
(Tandatangan / Signature)
Cop Majikan:
Nama : Company Stamp:
Name

Jawatan :
Position

No.Telefon :
Telephone No.

Tarikh :
Date
BAHAGIAN C ( SECTION C)

i. PENILAIAN TERHADAP PELAJAR (DIISI OLEH PEGAWAI PENILAI) :

I: ASSESSMENT OF STUDENTS (TO BE COMPLETED BY THE ASSESSMENT OFFICER) :

Skala / Scale 1 2 3 4 5
Kriteria Kurang
Lemah Memuaskan Baik Cemerlang
Pemarkahan Weak Memuaskan Fair Good Excellent
(Scoring Criteria) Poor

Sila tandakan (/) pada kotak yang berkenaan.

Please tick (/) in the appropriate box. 1 2 3 4 5
1. Pengetahuan Mengenai Tempat Kerja
Workplace Knowledge
2. Kebolehan Mematuhi Arahan
Follow Instructions
3. Kebolehan Am / Teknikal
General/Technical Ability
4. Ketekunan dan Minat
Persistence and Interest
5. Penyesuaian Diri dengan Tugas
Self-adjustment to Work Task
6. Inisiatif / Kualiti Hasil Kerja
Initiatives / Work Quality
7. Disiplin dan Ketepatan Masa
Discipline and Punctuality
8. Personaliti dan Kemahiran Komunikasi
Personality and Communication Skills
9. Kehadiran Pelajar
Student Attendance
JUMLAH MARKAH :
/ 45
Total Score :

ii. MASALAH PELAJAR SEMASA MENJALANI LATIHAN INDUSTRI:

PROBLEM FACED BY STUDENTS DURING INDUSRIAL TRAINING:

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

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

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iii. ULASAN PEGAWAI PENILAI LATIHAN INDUSTRI:

REVIEW BY INDUSTRIAL TRAINING SUPERVISOR

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

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

…………………………………………………………………………………………………….
iv. PENILAIAN BUKU LOG:
LOG BOOK ASSESSMENT:

PROGRAM SIJIL PROGRAM DIPLOMA

CERTIFICATE PROGRAM DIPLOMA PROGRAM
Markah Markah
Kriteria Penilaian Kriteria Penilaian
Assessment criteria
Diperolehi Assessment criteria
Diperolehi
(score) (score)
Kandungan Kandungan
Content
/ 20 Content
/ 10

Persembahan / Kreativiti Persembahan / Kreativiti

Display / Creativity
/ 10 Display / Creativity
/5

Kekemasan Kekemasan
Neatness
/ 10 Neatness
/5

JUMLAH (TOTAL) / 40 JUMLAH (TOTAL) / 20

v. PENGESAHAN PEGAWAI PENILAI LATIHAN INDUSTRI :

ENDORSEMENT OF INDUSTRIAL TRAINING SUPERVISOR:

……………………………..........
(Tandatangan / Signature)
Cop Pegawai Penilai:
Nama : Supervisor stamp:
Name

Jawatan :
Position

Tarikh :
Date