Post on 04-Feb-2018
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)
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)
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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
Significantly Exceed
Poor Below Target On Target Exceed Target Target 1 2 3 4 5
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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
Significantly Exceed
Poor Below Target On Target Exceed Target Target 1 2 3 4 5
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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.
Significantly Exceed
Poor Below Target On Target Exceed Target Target 1 2 3 4 5
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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
Significantly Exceed
Poor Below Target On Target Exceed Target Target 1 2 3 4 5
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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)
Significantly Exceed
Poor Below Target On Target Exceed Target Target 1 2 3 4 5
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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)
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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 )
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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
ASSESSMENT FORM FOR KNOWLEDGE TRANSFER PROGRAMME (KTP)
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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