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Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

TS (1)
PARTICIPATION FORM
[To be completed in 2 copies]
1.

MRSM

2.

CATEGORY

3.

PROJECT

CHEMISTRY
Individual

Group
Name

4.

PARTICIPANTS NAME

i.

(Group/team - not
more than 2 persons)

ii.

5.

PROJECT TITLE

6.

ADVISOR

7.

ABSTRACT

8.

NOTES

For
m

Please use the format as shown in Appendix 1


( containing 2 pages)

8.1

Electric Source

Provided in limited numbers. Students must


bring their own extension wires.

8.2

Water Source

Water source is not provided in the display area.


Participant must bring their own water container
for any projects that require water.

8.3

Laptop/comput
er/ LCD
Projector

Not provided. Please bring your own computer (if


needed).

Nurturing A Culture of Scientific Excellence

Page 1

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

I certify that this project is the result of my own/group effort and has never
entered any competition outside MRSM prior to this. I also certify that this
project is not a requirement for any PMR or SPM paper.

................
..
Name of Individual/Group
Leader

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

........

.......

CERTIFIED BY :

................
..
Name of Head of
Science Department
Departments Stamp :

................
..
Name of Scientific
Review Committee
Chairman

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

Nurturing A Culture of Scientific Excellence

Page 2

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

..

Name of Principal
Principals Stamp:

.
Signature

Date

TS (1)
PARTICIPATION FORM
[To be completed in 2 copies]
1.

MRSM

2.

CATEGORY

3.

PROJECT

BIOLOGY
Individual

Group
Name

4.

PARTICIPANTS NAME

i.

(Group/team - not
more than 2 persons)

ii.

5.

PROJECT TITLE

6.

ADVISOR

7.

ABSTRACT

For
m

Please use the format as shown in Appendix 1


( containing 2 pages)

Nurturing A Culture of Scientific Excellence

Page 3

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

8.

NOTES
8.1

Electric Source

Provided in limited numbers. Students must


bring their own extension wires.

8.2

Water Source

Water source is not provided in the display area.


Participant must bring their own water container
for any projects that require water.

8.3

Laptop/comput
er/ LCD
Projector

Not provided. Please bring your own computer (if


needed).

I certify that this project is the result of my own/group effort and has never
entered any competition outside MRSM prior to this. I also certify that this
project is not a requirement for any PMR or SPM paper.

................
..
Name of Individual/Group
Leader

........
.

.......
.

........
.

.......
.

Signature

Date

CERTIFIED BY:

................
..
Name of Head of
Science Department
Departments Stamp :

Signature

Nurturing A Culture of Scientific Excellence

Date

Page 4

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

................
..
Name of Scientific
Review Committee
Chairman

................
..
Name of Principal
Principals Stamp:

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

TS (1)
PARTICIPATION FORM
[To be completed in 2 copies]
1.

MRSM

2.

CATEGORY

3.

PROJECT

PHYSICS
Individual

Group
Name

4.

5.

PARTICIPANTS NAME

i.

(Group/team - not
more than 2 persons)

ii.

For
m

PROJECT TITLE

Nurturing A Culture of Scientific Excellence

Page 5

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

6.

ADVISOR

7.

ABSTRACT

8.

NOTES

Please use the format as shown in Appendix 1


( containing 2 pages)

8.1

Electric Source

Provided in limited numbers. Students must


bring their own extension wires.

8.2

Water Source

Water source is not provided in the display area.


Participant must bring their own water container
for any projects that require water.

8.3

Laptop/comput
er/ LCD
Projector

Not provided. Please bring your own computer (if


needed).

I certify that this project is the result of my own/group effort and has never
entered any competition outside MRSM prior to this. I also certify that this
project is not a requirement for any PMR or SPM paper.

................
..
Name of Individual/Group
Leader

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

CERTIFIED BY :

................
..
Name of Head of

Nurturing A Culture of Scientific Excellence

Page 6

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

Science Department
Departments Stamp :

................
..
Name of Scientific
Review Committee
Chairman

................
..
Name of Principal
Principals Stamp:

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

TS( 1)
PARTICIPATION FORM
[To be completed in 2 copies]
1.

MRSM

2.

CATEGORY

3.

PROJECT

ENGINEERING/INOVATION
Individual

Group
Name

4.

PARTICIPANTS NAME

For
m

i.

Nurturing A Culture of Scientific Excellence

Page 7

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

(Group/team - not
more than 1 persons)
5.

PROJECT TITLE

6.

ADVISOR

7.

ABSTRACT

8.

NOTES

ii.

Please use the format as shown in Appendix 1


( containing 2 pages)

8.1

Electric Source

Provided in limited numbers. Students must


bring their own extension wires.

8.2

Water Source

Water source is not provided in the display area.


Participant must bring their own water container
for any projects that require water.

8.3

Laptop/comput
er/ LCD
Projector

Not provided. Please bring your own computer (if


needed).

I certify that this project is the result of my own/group effort and has never
entered any competition outside MRSM prior to this. I also certify that this
project is not a requirement for any PMR or SPM paper.

................
..
Name of Individual/Group
Leader

........
.

.......
.

Signature

Date

CERTIFIED BY :

Nurturing A Culture of Scientific Excellence

Page 8

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

................
..
Name of Head of
Science Department
Departments Stamp :

................
..
Name of Scientific
Review Committee
Chairman

................
..
Name of Principal
Principals Stamp:

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

TS (1)
Nurturing A Culture of Scientific Excellence

Page 9

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

PARTICIPATION FORM
[To be completed in 2 copies]
1.

MRSM

2.

CATEGORY

3.

PROJECT

COMPUTER SCIENCE
Individual

Group
Name

4.

PARTICIPANTS NAME

i.

(Group/team - not
more than 1 person)

ii.

5.

PROJECT TITLE

6.

ADVISOR

7.

ABSTRACT

8.

NOTES

For
m

Please use the format as shown in Appendix 1


( containing 2 pages)

8.1

Electric Source

Provided in limited numbers. Students must


bring their own extension wires.

8.2

Water Source

Water source is not provided in the display area.


Participant must bring their own water container
for any projects that require water.

8.3

Laptop/comput
er/ LCD
Projector

Not provided. Please bring your own computer (if


needed).

Nurturing A Culture of Scientific Excellence

Page 10

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

I certify that this project is the result of my own/group effort and has never
entered any competition outside MRSM prior to this. I also certify that this
project is not a requirement for any PMR or SPM paper.

................
..
Name of Individual/Group
Leader

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

........
.

.......
.

Signature

Date

CERTIFIED BY :

................
..
Name of Head of
Science Department
Departments Stamp :

................
..
Name of Scientific
Review Committee
Chairman

................
..
Name of Principal
Principals Stamp:

Nurturing A Culture of Scientific Excellence

Page 11

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

TS(5)
PERTANDINGAN TUNAS SAINTIS MRSM PERINGKAT KEBANGSAAN
KALI KE -23, 2014
BORANG MAKLUMAT KONTINJEN
(Diisi dalam 3 salinan)
MRSM : _________________________________________________________
A) SENARAI PESERTA (Jumlah tidak melebihi 8 orang pelajar)
KATEGORI

TAJUK

BIOLOGY
CHEMISTRY
PHYSICS
ENGINEERING
COMPUTER SCIENCE

INDIVIDU @
KUMPULAN

NAMA PESERTA
1.
2.
1.
2.
1.
2.
1.
2.
1.

NO. K.P

L/P

TING.

B. BILANGAN PESERTA
PESERTA

BILANGAN

NO. BLOK / DORM / BILIK


(Untuk Kegunaan
Penganjur)

LELAKI

Nurturing A Culture of Scientific Excellence

Page 12

Pertandingan Tunas Saintis MRSM Se- Malaysia 2014, MRSM KKB

PEREMPUAN
JUMLAH

C. SENARAI GURU PENGIRING (1 orang guru sahaja )

NAMA GURU PENGIRING

L/P

NO. TELEFON BIMBIT


(JIKA ADA)

NO. BLOK/BILIK
(Untuk Kegunaan
Penganjur)

L/P

NO. TELEFON BIMBIT


(JIKA ADA)

NO. BLOK/BILIK
(Untuk Kegunaan
Penganjur)

1.

D. SENARAI PEMANDU BAS

NAMA PEMANDU
1.
2.

Nurturing A Culture of Scientific Excellence

Page 13