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Form C Supervisor Report
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Industrial Training Manual v5.0, School of Engineering and Science, Curtin University Sarawak Malaysia
Reference Number: MAN-SOES-01 Version: 5.0 Page 30 of 35
Any hard copy (Printed) version of this document is to be regarded as out of date. The current revision can only be verified by direct reference to the SOES Industrial Relations
Form C
SCHOOL OF ENGINEERING & SCIENCE
INDUSTRIAL TRAINING
Training Supervisor Report Note: a. This form is to be filled in by the training supervisor after the student has completed
his/her training. b. Please post/fax the completed ORIGINAL form to the following address within 7 days
after the training is completed. Administrative Assistant (Industrial Training) School of Engineering & Science Curtin University, Sarawak Campus Malaysia CDT 250, 98009 Miri, Sarawak. TELEPHONE +60 85 443939 FAX +60 85443837
_____________________________________________________________________________ 1. Name of Student 2. Course 3. Training Starts 4. Training Ends 5. Training Period (weeks) 6. Name and Address of Organization:
Tel: Fax:
Form Ref. No. For-SoES_03
Version No. 5.0
Pages in IT Manual 29-30 of 35
CONFIDENTIAL
Industrial Training Manual v5.0, School of Engineering and Science, Curtin University Sarawak Malaysia
Reference Number: MAN-SOES-01 Version: 5.0 Page 30 of 35
Any hard copy (Printed) version of this document is to be regarded as out of date. The current revision can only be verified by direct reference to the SOES Industrial Relations
7. List down three major aspects of engineering which the student had been exposed to:
i. ____________________________________________________ ( %)
ii. ____________________________________________________ ( %)
iii. ____________________________________________________ ( %)
8. Overall evaluation of the industrial training: Please use grade of 1 (very poor) to 10 (excellent) for each of the questionnaires a. Cooperation during training b. Attendance
c. Punctuality d. Communication ability
e. Efficiency f. Association with workers
g. Association with officers’ h. Quality of work
i. Knowledge j. Skills
9. Please give comments or suggestions on the present industrial training as practiced by the School of Engineering & Science, Curtin University for future improvement.
10. If there is a vacancy available, will your organisation consider employing this student as
your future employee? (Please circle your answer) YES / NO Name of training supervisor
Signature and Date Name and Stamp of Organisation
TOTAL