sindex 2012 (borang peraduan - bi).doc
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SABAH INVENTION & DESIGN EXHIBITION,2012
7 – 8 JULY 2012, UNIVERSITI MALAYSIA SABAH (UMS), KOTA KINABALUhttp://www.sabah.gov.my/ust/sindex2012.html
INVENTION COMPETITION ENTRY FORM (CLOS!" #$%& O! 1' $)L 2012*
ALL PARTICIPANTS MUST READ THE RULES AND REGULATIONS AND CONDITIONS OF THE COMPETITIONS.
ALL ENTRY FORMS ARE TO BE FILLED IN BLOCK C$%$L L&%%&)S O) %+&,)%%&!.PHOTOCOPIES OF ENTRY FORMS ARE ACCEPTABLE.
1) CATEGORY LOER SECON!ARY UPPER SECON!ARY
(-om 1 '/. 1 '* (-om /S. 1 '*
2) COMPETITION CENTER KOTA KINABALU SAN!AKAN TAAU
") PARTICIPANT !ETAILS IN!IVI!UAL GROUP
(#I$ %& '*+, +-./- /.- * '*+ &.-) NAME34444444444444444444444444444444444444444444444444444444444444
NO5 OF INVENTORS (F '*+ &) 344444444444444444444444444444444444444444444444
NAME 3(
( #F%&6%%6*.'*+ -.6-, +-./- *&6-%&- * $.% &.- )
IC NO 34444444444444444444444444444444444444444444444444444 GEN!ER 3 MALE# FEMALE#
S9: A6-// 3
P:&-3 (O) (H)
M;%-3 F.<3 E=.%3
GROUP MEMBERS NAME3 (F . '*+ $ %&-&/ &)
>) NAME OF INVENTION (P-./- */- /%+- &.-, ./ /: ./ +//%;- * %&-&%&)
4444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444
1
PERTUBUHAN
ARKITEK MALAYSIA
UNIT SAINS DAN
TEKNOLOGI
-O) S&C)&%$)$% 3S& O!L+
REGISTRATION NO
KATEGORY
BOOTH NO
JABATAN PELAJARAN
NEGERI SABAHSTRIVING TOWARDS A
CREATIVE SOCIETY
FSM
PART A 3 GENERAL INFORMATION
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?) TYPE OF GROUP 1 2 " >
()e4e to hase ' 5%ems and Conditions6*: 1 – E-9&%9/ .&6 M-9:.&%9. 2 – G-&-. T-9:&' @ E&'%&--%&'
" – C:-%/ > – O$$%9- @ E6*9.%&
CLASSIFICATION OF INVENTION()e4e to hase ' 5%ems and Conditions6*
) FORM OF INVENTION TO BE SUBMITTE! AN! EHIBITE!
M.&*$.9*-6 A%9- P+- M6-P.&!.%&'/
7) HAS THE INVENTION PRESENTE! AT OTHER EVENTSD
E<:%;%0%&/ &.- 3
Y-. 34444444444444 A.6 (%$ .&) 3
8) INTELECTUAL PROPERTY STATUS
H.- * .++%-6 .& I&--9*. P+- +-9%& $ * %&-&%& %& M../%.D
NO YES - +&S7 L&$S& CO8L&%& %9& #&%$LS &LO,:
!.0- $ .++,%9.0%& 344444444444444444444 #I&--9*. P+- A++%9.%& N5
(#P-./- ..9: --.& +:9+%-6 69*-&)
C*&0 :%9: I&--9*. P+- -'%/0--6 (%$ .&) 3
1) :. %/ :- .%& $*&9%&+*+/-/ $ :%/ INVENTIOND
2): *6 ;- :- +%. */-/ $ :%/ INVENTIOND
") :. .- :- &- *&%*- $-.*-/ .&6 . .6.&.'-/ $ :- INVENTIOND
>) !-/9%;- 9-. & /-+..- /:--/ $ +.+- (TYPERITTEN) :- -9:&%9. %&' $ :- INVENTION5 S*;%//%& $
--.& 69*-&/ %&9*6%&' 6.%&'(/), +:'.+: .&6 -9:&%9. $-.*-/ $ :- INVENTION *6 /-&':-& :- .//-//-&
$ * -&5 (ALL !RAINGS AN! ILLUSTRATIONS MUST BE PROPERLY LABELLE! ITH THE NAME OF THE
INVENTION AN! SIMILARLY ITH THE NAME ON THE BACK OF PHOTOGRAPH)
?) INVENTION ABSTRACT
T:- .++%9.& %/ ./ -*%-6 +-+.- .&6 +%6- . +-%-& .;/.9 $ :- INVENTION %& & - :.& ?0
6/ & . *&%&' :.6;.6 -./*%&' %& A> /%-5 T:- .;/.9 /:*6 ;- 9-., 9&9%/- -&*': -&.;- :- *6'-/
-.*.- :- -&5 T:%/ .;/.9 % ;- ./ */-6 +* & 6%/+. 6*%&' :- -<:%;%%&/5
;; $tta<hment not moe than 2 pages only (in<luding panting/ illustation/pi<tue and te<hni<al 4eatues o4 the
invention*.
2
PART B 3 INVENTION TECHNICAL !ESCRIPTION
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I,444444444444444444444444444444444444444444444444444444444444 #& ;-:.$ $ G*+ :--; 6-9.- :.3
%) I .#- .- /*6-&(/) /*6%&' %& . /-9&6. /9: %& S.;.:5
%%) T:- -& $ :- 9+-%%& %/ .& %'%&. INVENTION .&6 & . 9+, 9-.-6 -<9*/%- ; -*/ .&6
%%%) I- :.- -.6 :- R*-/, R-'*.%&/ .&6 . 9&6%%&/ $ :- 9+-%%& .&6 .'-- .;%6- ; :- /.-5
I#& ;-:.$ $ G*+ :--; $*:- .'-- .&6 .99-+ :. 3
.5 I- /:. & :6 :- P.&- $ E.*./ %/ -;-/, :- O'.&%%&' C%-- %/ %&' 9%-- %.;- %&
-/+-9 $ .& .-/ :%9: .%/- $ ;- 9&&-9-6 :- O'.&%%&', 9&6*9 -/* $ :- 9+-%%&
;5 N 6-9%/%& $ P.&- $ E.*./ :-:- $.*.;- :-:%/- /:. ;- .*:%.%- %& .& . /*++
9&-/ :- +.-&.;%% -'%/.;%% $ * INVENTION /*;%-6 $ :- 9+-%%&
95 T:- 6-9%/%& $ :- P.&- $ E.*./ .&6 :- '.&%%&' C%-- $ :- 9+-%%& %/ $%&. .&6 ;%&6%&'
65 I- .- /- -/+&/%;- $ :- +-9%& $ * & +.-&-'%/.%& %':/ .&6 :- '.&%%&' C%-- $
SIN!E 2012 /:. & ;- :-6 %& .& . -/+&/%;- $ .& // $ /*9: %':/ -/*%&' $ :- +.%9%+.%& %& :%/
9+-%%&
-5 I- . :- O'.&%%&' C%-- */- :- &.-(/), +:'.+:/ .&6 6-.%/ $ :- %&-&(/) .&6 :-
%&-&%& $ +*;%9% +*+/-/ .& :- +*+/-/ 6---6 &-9-//. .&6
$5 I- /:. ;- /- -/+&/%;- ;-. . -<+-&/-/ 9&/-*-& :--& %&9%6-&. :-- .%/%&' $ :-
+.%9%+.%& %& :%/ 9+-%%&5
!.- 3
(S%'&.*- $ A++%9.&)
##( N.- $ A6%/
T-.9:- I&/*9 ) ## (A6%/ T-.9:- I&/*9 / IC NO)
## (T.&6.&'.& G** P-&./%:. P-;%;%&'
## (S%'&.*- $ A6%/ T-.9:-
I&/*9)
PLEASE TICK HICHEVER IS APPLICABLE5
# PLEASE !ELETE HICHEVER IS NOT APLLICABLE
## MUST BE COMPLETE! FOR ENTRANT HOSE AGE IS LESS THAN 18 YEARS ON THE !AY OF SIGNING5
I, 44444444444444444444444444444444444444 , :- #PRINCIPAL#HEA! $ /9:
:--; 9-%$ :. :- .;- &.-6 $ C.//
%/ 9*-& . /*6-& $ S9: .&6 :- INVENTION %/ .& O%'%&. INVENTION $ :- /*6-&(/)5
T-5 N5 3444444444444444444444444
(S%'&.*-)
!.- 3
O$$%9%. S.+ $ S9:
NOTES3
CLOSING !ATE AN! SUBMISSION OF ENTRIES
A -&%-/ */ ;- /*;%-6 9+-- %: 6* 9+--6 E& F .&6 :- --.& 69*-&/ -&9/-6 %& . /-.-6
-&-+- .-6 SIN!E 2012 .&6 */ -.9: :- -/+-9%- !%%/%&. C+-%%& C-&- & .- :. 1" APRIL 2012 ./
3
BAHAGIAN C 3 !ECLARATION
PART ! 3 CERTIFICATION BY THE SCHOOL
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/.-6 %& :- R*-/ .&6 R-'*.%&/ .&6 C&6%%&/ $ :- C+-%%&5
4
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FOR INUIRY, PLEASE CONTATC THE FOLLOING3
KOTA KINABALU3
15P&5 *%.: *%$%, T%;..& P-&'..:, U&% S.%&/ @ T-&'% (UST), J.;..& K-*. M-&-%T%&'. 7, B B, %/. MUIS, P5O5 B<5 1?>>, 888>, K. K%&.;.*, S.;.:T- 3 088 – 2>0>"0, F.< 3 088 – 2>>10, HP 3 01> – ?227"7, E- 3 *%.:5*%$%Q/.;.:5'5
25E&5 M:6 R.$$%- H5 J.&.*, T%;..& P-&6.$., P*/. P-&-%6%.& @ I&./% (PPI), U&%-/%% M../%. S.;.:J..& UMS, 88>00 K. K%&.;.*, S.;.:5T- 3 088 – "202, F.< 3 088 – "20127, HP 3 01 – 8"02710, E- 3 .$$%-Q*/5-6*5
"5 E&5 M:65 A%66 S*$$%.& A;65 R./:%6, P-&&' P-&6.$., P*/. P-&-%6%.& @ I&./% (PPI), U&%-/%% M../%. S.;.:J..& UMS, 88>00 K. K%&.;.*, S.;.:5T- 3 088 – "20000 -<5 >1>, F.< 3 088 – "20127, HP 3 01 – 8">80>" 012 – 8>>72" , E- 3 .%66Q*/5-6*5
SAN!AKAN15 R&5 C:.& T*& H-%, O'.&%/%&' C:.%.& T:- R. C*; $ S.&6..&
U&% P-%+%& K-.*.& R.. N5>? E+*., J.;..& K-*. M-&-%, T%&'. 2, L 1, B A,
B.&6. K% F*&', B.* >, 0000 S.&6..&
T- 3 08=2721"1 2187"7, F.< 3 08 – 271201, HP3 01=81"171" E- 3 :-%+-//Q.:595/'
TAAU315 R&5 F-6-%9 K%/5 T:- R. C*; $ T..*
CH %%./ T.:. @ &' (S) S6& B:6, "0?, F%/ F, L-&' H*. B*%6%&', J..& !*&+,
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HP 3 01 – 8"?17", E- 3 ..*Q595
LABUAN315 R&5 S...&.&, T:- R. C*; $ L.;*.& FT
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T:- R. C*; K. K%&.;.* T:- R. C*; $ S.&6..& N:T:- R. C*; $ T..*P-.;. P-...&G.;*&'.& !.-.: KK S.&6..&T..*
5
SCIENCE @ TECHNOLOGY UNIT (UST) HAS THE RIGHT TO RETAIN
EHIBIT FOR EHIBITION AN! E!UCATION PURPOSE5
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