Dedicated Email (For System Matching & SMTP) *

1. Name of expert or focal person *

2. Name of School / Centre / Institute / Unit (PTJ) * -- Sila pilih PTJ anda -- 1. Institut Pengajian Siswazah 2. Institut Penyelidikan dalam Perubatan Molekul (INFORMM) 3. Institut Penyelidikan Pendidikan Tinggi Negara 4. Institute of Nano Optoelectronics Research and Technology (INOR) 5. PP Bahasa, Literasi dan Terjemahan 6. PP Kejuruteraan Aeroangkasa 7. PP Kejuruteraan Awam 8. PP Kejuruteraan Bahan dan Sumber Mineral 9. PP Kejuruteraan Elektrik dan Elektronik 10. PP Kejuruteraan Kimia 11. PP Kejuruteraan Mekanikal 12. PP Kemanusiaan 13. PP Komunikasi 14. PP Pendidikan 15. PP Pendidikan Jarak Jauh 16. PP Pengurusan 17. PP Pengurusan Pembangunan Islam (ISDEV) 18. PP Perumahan, Bangunan dan Perancangan 19. PP Sains Biologi 20. PP Sains Farmasi 21. PP Sains Fizik 22. PP Sains Kemasyarakatan 23. PP Sains Kesihatan 24. PP Sains Kimia 25. PP Sains Komputer 26. PP Sains Matematik 27. PP Sains Pergigian 28. PP Sains Perubatan 29. PP Seni 30. PP Siswazah Perniagaan (GSB) 31. PP Teknologi Industri 32. Pusat Biologi Kimia (CCB) 33. Pusat Genom Manusia (Pusat Virtual) 34. Pusat Kajian Kelestarian Global (CGSS) 35. Pusat Kajian Marin & Pantai (CEMACS) 36. Pusat Kanser Tun Abdullah Ahmad Badawi (PKTAAB) 37. Pusat Kecemerlangan Reka Bentuk Mikroelektronik Kolaboratif (CEDEC) 38. Pusat Penyelidikan Arkeologi Global 39. Pusat Penyelidikan Biokimia Analitik (ABrC) 40. Pusat Penyelidikan Dadah 41. Pusat Penyelidikan Dasar dan Kajian Antarabangsa (CenPRIS) 42. Pusat Penyelidikan Kejuruteraan Sungai dan Saliran Bandar (REDAC) 43. Pusat Penyelidikan Keselamatan Siber (CYRES) 44. Pusat Penyelidikan Sains & Kejuruteraan (SERC) 45. Pusat Penyelidikan Wanita dan Gender (KANITA) 46. Pusat Racun Negara 47. Pusat Teknologi Pengajaran & Multimedia

3. Designation / Jawatan *

4. Email and phone / WhatsApp contact *

5. Main expertise cluster * Business / Management / Marketing / Commercialisation Science / Engineering / Testing / Product Development Digitalisation / AI / Data / Automation Training / Talent / Education / Communication Health / Agriculture / Sustainability / Compliance Other / Lain-lain

6. Please briefly describe your expertise or services (1-3 sentences) *

7. Keywords for your expertise (e.g. AI, automation, food testing) *

8. Types of support that you can provide to SMEs (Tick all that apply) *
Consultancy / advisory
Research and product/service development
Training / upskilling
Testing / validation / technical service
Student project / internship / industrial FYP
Grant proposal or funding application support
Commercialisation support

9. SME sectors most relevant to your expertise *
Manufacturing / Engineering
Food & Beverage
Healthcare / Medical Devices
Digital / ICT
Construction / Built Environment
Retail / Wholesale
Logistics / Connectivity
Tourism / Hospitality
Professional Services
Education & Training
Agriculture / Agri-food

10. Please list any past, ongoing, or future project topics relevant to SME collaboration *

11. Specific SME problems that your expertise can help address *

12. Facilities, labs, equipment, software, datasets, or technical resources available (Optional)

13. Current readiness level of your expertise/service * Service already available Pilot-ready Concept / early-stage Requires further discussion

14. Availability for SME engagement * Immediate Within 1 month Within 3 months Within 6 months Not available now

15. Preferred collaboration route *
Consultancy / paid service
Training programme
Joint grant / matching grant
Contract research / MoA
MoU / LoI first
Student project / internship / industrial FYP
Testing / validation service

16. Are you willing to participate in USM-SME Innovation Day 2026? * Yes, for expertise sharing / pitching Yes, for one-to-one SME matching Yes, for consultation / advisory session Maybe / requires further discussion No

17. Consent *
I agree that the information provided may be used by USM BJIM, USM RNI, USAINS, and the USM SME Cluster Committee for SME expert matching, SME Innovation Day preparation, and follow-up collaboration facilitation.