Spreadsheet: da497764-98c1-4838-8b9b-ca3503f7179c
Sheet: Sheet1

PART 1 : This part must be filled by USM Fellowship holders | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13
Instructions to USM Fellowship holders :
1. When to submit this form : Within 15 days of your sixth month of your USM Fellowship tenure for every year  2. Please complete Part 1,  get your supervisor's endorsement for Part 2 and submit to [NAME]/Director of your school/centre
Failure to submit this form will affect your yearly extension
Name : |  |  |  | 1. DUTIES/ASSIGNMENTS ASSIGNED BY SCHOOL
 |  |  |  | Please state the assignments assigned by your school
[NAME]: |  |  |  |  | Assignments |  |  |  |  |  |  |  | Time Allocated
School :
Research Title :
 |  |  |  | 2. TIME AT USM
 |  |  |  | Please state the time that has not been spent at USM for the past 6 months and reason (e.g date)
 |  |  |  | 3. MY CURRENT PROGRESS (please tick)
Main Supervisor |  |  |  |  |  | Published  paper(s) in a refereed journal                          Quantity
 |  |  |  |  |  | Published paper(s) in conference proceedings              Quantity
 |  |  |  |  |  | Presented paper(s) in seminar(s) (non-proceedings)   Quantity
 |  |  |  |  |  | Writing manuscript(s) for journal/conference               Quantity
 |  |  |  |  |  | Others :
Co-Supervisor |  |  |  | Please provide/attach details of submitted or published work and on the progress of any publications/conference/seminar you have attended.
My Fellowship status is (please tick and state date) : |  |  |  | 4. COURSES, SEMINARS AND WORKSHOPS
 |  |  |  | List any school seminar (visiting scholars, research seminars,workshops) you have attended in past 6 months
1st Appoinment                     From:                  to:
1st Extension                          From:                  to:
2nd Extension                        From:                  to:
3rd Extension                         From:                  to:
 |  |  |  | 5. RESEARCH GRANT
 |  |  |  | Is your research project being supported by a research grant or studentship or research contract with
Signature : |  |  |  | USM or outside party? (e.g where a research agency, company or government department is funding
 |  |  |  | the project under an agreement with the University?)
Date : |  |  |  |  | Yes |  |  |  |  |  | No
 |  |  |  | Name of research grant :
PART 2 : SUPERVISOR'S COMMENTS
1. Intruction to student: Please attach the completed Part 2 with Part 1 and Part 3 and submit to [NAME]/Director of your School/Centre
2. Instruction to Supervisor : Please tick the relevant box
 |  |  |  | Please tick in the relevant box
[NAME] Name : |  |  |  | 1. How is the student progressing with his research work?
[NAME] Name : |  |  |  | 2. How is the student progressing with his/her publication requirement as a USM Fellowship holder ?
 |  |  |  | 3. How do you rate the student's overall progress as a USM Fellowship holder?
 |  |  |  | 4. Other comments :
 |  |  |  | 5. Do you recommend the continuation of USM Fellowship to your supervisee?
PART 3 : This part must be filled by School/Centre's Evaluation Committee (Confidential)
Instructions to Evaluation Committee:
1.  This part is confidential   2. Please submit to [NAME]/Director for endorsement of recommendations  3. Please refer to the Supervisor's Comment Section
Committee Chairman : |  |  |  | Candidate's general performance as Fellowship holder for the past 6 months (please tick)
Signature and official [NAME]:
Date :
PART 3 : This part must be filled by [NAME]/Director (Confidential)
Instructions to Schools/Centre of Excellence :
1.  This mid term report is important for the yearly extension of the Fellowship holder
Student's failure to submit this form  will give implications to yearly extension evaluation
[NAME]/Director: |  |  |  | ENDORSEMENT & RECOMMENDATIONS
 |  |  |  | Continuation of Fellowship for the next 6 months
Signature and official Stamp
 |  |  |  | Continuation of Fellowship not recommended
Date : |  |  |  | State [NAME] (if any) :
2. Please submit endorsed report to Dean, Institute of Postgraduate Studies, Universiti Sains Malaysia for administrative procedures involving notice of termination (if any) / revocation of allowance for the consecutive month and for monitoring purposes. Thank you