INTRA FORM H

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COMPANY SUPERVISOR FORM

SECTION A - COMPANY BACKGROUND

Company Name CCP MARINE AND HEAVY ENGINEERING SDN BHD

Nature of Business

Energy & Renewable Bio-process/biodiversityGovernment Agency

Petrochemical
Oleo Chemical Polymer - Rubber Environment Educational Institutions

Manufacturing Polymer - Composite Food Industry Others :

SECTION B - TRAINEE(S) EVALUATION

Supervisor is requested to fill in this form (Please tick [/] for suitable evaluation)
1. Describe nature of jobs/tasks/project given/performed by trainee

2. Relation between company

natures of business
(job/task/ Closely Somewhat
Fully Related Related Relate Related Not Related
project) with student's
field of study d
# If NOT RELATED, please suggest suitable department for trainee :

3. Period of training
More Closely Somewhat
Sufficient Not Sufficient
than Sufficien Sufficient
sufficient t
4. Trainee(s) show(s)
sufficient knowledge & Excellent Good Average Fair Poor
capabality in conducting
the job/task/projects

5. Level of skill(s) shown by trainee(s) :

(i) Leadership/Management Excellent Good Average Fair Poor
Skills
(ii) Communication/ Excellent Good Average Fair Poor
Presentation Skills
(iii) Technical Skills Excellent Good Average Fair Poor

(iv) Writing Skills Excellent Good Average Fair Poor

6. Commitment from
trainee(s) in supporting his Excellent Good Average Fair Poor
role
7. Professionalism (ethics &
social responsibilities) Excellent Good Average Fair Poor
show by trainee(s)
8. Overall performance shown
by trainee(s) Excellent Good Average Fair Poor

9. Trainee(s) follow(s)
prescibed rules & Excellent Good Average Fair Poor
regulation of company
10. Recommendation to absorb
Fully Highly Slightly Not
trainee(s) as permanent Recommended
Recommended Recommended Recommended Recommended
staff
11. Suggestion & Recommendation

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SECTION C - INDUSTRIAL LINKAGES SURVEY
1. Specialization or specialty of your
business

2. Would you like to collaborate with UniKL MICET 5. Would you like to be panel/reviewer for UniKL MICET Final
Year Project/Design Project
YES NO YES NO

3. If no. 2 YES, please indicate your interest (You can tick [/] MORE than ONE choice).
Industrial Training Prog. Product Development Technology Transfer Commercial Research

Professional Course Laboratory & Analysis Green Technology Industrialmanship

4. Which of following program you be interested in?

Bakery/Meat Based Product/Sauces
(Soy,Chili,Tomato) Manufacturing
Injection Molding Workshop
(Basic/Intermediate/Composite)
Basic Technopreneurship/Marketing Plan/
Business Writing
Oleo Chemical Processing (Food/Homemade
Products)/Margarine & Bakery
Data Mining/Exploratory Data Analysis
Good Manufacturing Product (GMP)/
Sekolah Latihan Pengendali Makanan (SLPM)
Waste Water Treatment/Solid & Hazardous Waste
Management
Safety/Chemical Safety/Hazard, Risk Assessment &
Control/OHSAS 18000
Lubrication Training (basic) & Single Point Auto
Lubrication System/Maintenance Solution
Plant Automation/PDM S

Extraction of Essential Oil Toxicology Test for Pharmaceutical Products

High Performance Culture (HPC) - 5S, CITIE Others

6. Please describe your expertise that can be shared with 7. Any suggestion(s )?
UniKL MICET

Name :
Designation :
Contact No :
(Signature) Email :
Date : (Company Stamp)

Form H - Company Supervisor Form