THE TECHNICAL UNIVERSITY OF KENYA
INDUSTRIAL LIAISON OFFICE TUK/ATT/021 FORM
P.O Box 52428, Nairobi, 00200 email: ilo@tukenya.ac.ke
Tel: +(020) 343672, 2249974, 341639 website: www.tukenya.ac.ke
Fax: 0202219689
INDUSTRIAL ATTACHMENT LOG BOOK
A. Personal Details
Last Name…………………………………. Other Names……………………………………………
Admin No. …………………………………… Female Male
Identity Card No……………………….… Date of Birth………... Month………… Year……………
Course ………………………………… Level………………………………………Year……………
Home Address…………………………………………………... Tel. No……………………………
Next of Kin(Name)…………………………………………… Relationship………………………
Postal Address………………………. Postal Code………….…...Tel. No……………………………
B. Training Institution
Name of Faculty Dean…………………………………………………………………………………..
Name of Faculty…………………………………………………………………………………………
Contact Address…………………………………………………………. Tel. No…….………………
Name of School………………………………………………………………………………………….
Name of Director………………………………………………………………………………………...
Tel. No………………………………………………… Email………………………………………….
Name of Department……………………………………………………………………………………..
Name of Chairperson...…………………………………………………………………………………..
Tel. No………………………………………………… Email………………………………………….
C. Details of Attachment Place
Name of Organization……………………………………………………………………………………
Physical Address…………………………………………………………………………………………
Postal Address…………………………………………………………………………………................
Tel. No………………………………………………… Email………………………………………….
Department/Unit attached………………………………………………………………………………..
Name of Head……………………………………………………... Tel. No…….………………………
Trainer/Supervisor’s Name………………………………………... Tel. No……………………………
Position/Designation……………………………………………... Signature……………………………
Stamp……………………………….
WEEKLY INDUSTRIAL ATTACHMENT RECORDS TUK/ATT/022 FORM
PART I – To be filled by the Attachee
Week………………………………………………. To…………………………………… Weeks
Dates: From…………………………………………To……………………………………………….
Days Notes on Work Done
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Remarks by the Attachee:
……………………………………………………………………………………………………………
…………………………………………………………………………………………………………....
Name …………………………………….…. Signature………………...…… Date……………………
PART II – To be filled by the Industrial Attachment Trainer
Comments
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……………………………………………………………………………………………………………
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Name …………………………………….…. Signature………………...…… Date……………………
PART III – To be filled by the Industrial Attachment Supervisor
Comments
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Name …………………………………….…. Signature………………...…… Date……………………
(NB - attach a separate leaf if there are more issues to report - A STAMP May be Needed)
TUK/ATT/A23
THE TECHNICAL UNIVERSITY OF KENYA
INDUSTRIAL LIAISON OFFICE
Industrial Attachment Assessment Form
(This form is to be filled by the Organization offering placement)
Full Name of Attachee: ………………………………….……… Female Male
Admission No. …………………………………… Attachment Contact No……………………………
Total length of Attachment in Months: ………………………………………………………………......
Period: From: Day…………………….. Month……………………….. Year………………………..
To: Day…………………….. Month……………………….. Year………………………..
Name of Training Institution…………………………………………………………………………….
School ………………………………………………….. Course Name………………………………...
Name of Organization…………………………………………………………………………………….
Please, give your assessment of this attachee’s performance during the period of attachment on the 5
point scale below
Rating Scale
Assessment Area Excellent Good Average Fair Poor
5 4 3 2 1
1 Punctuality
2 Adherence to regulations
3 Improvement in:
(a) Workmanship
(b)Work Output
4 Adaptability
5 Communication
6 Reliability
7 Teamwork
Total
Overall assessment of the attachee as determined by the average score (please tick as appropriate)
Excellent Good Average Fair Poor
Assessor’s General Remark:…………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
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Assassed by: Name………………………………………. Position/Designation………………………..
Signature………………………………………………………… Date ……………...............................
Stamp ………………………………
Signed by the Attachee …………………………………………. Date…………………………………