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



?) 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



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



/.-6 %& :- R*-/ .&6 R-'*.%&/ .&6 C&6%%&/ $ :- C+-%%&5

4



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..& !*&+,

PO B< 0">, 101", T..*

HP 3 01 – 8"?17", E- 3 ..*Q595

LABUAN315 R&5 S...&.&, T:- R. C*; $ L.;*.& FT

PO B< 81??, 8700 L.;*.& FT5

HP 3 017 – 8181770, E- 3 /...&.&Q/:%+9.-595

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

mailto:[email protected]

















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