Anda di halaman 1dari 1

SPSK PK 04/1

BORANG PENCERAPAN
(Diisi oleh pencerap dalam 2 salinan: satu salinan diberi pada guru)
Nama
Sekolah:...........................................................................................................................
Nama
Guru:................................................................................................................................
Nama
Pencerap:...................................................................................................................................
Tarikh dan Masa Mencerap:......................................................................................................
Mata Pelajaran:..........................................................................................................................
Bil dalam tahun semasa:............................................................................................................
Ulasan sebelum pencerapan:
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
Ulasan selepas pencerapan:
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
...................................................................................................................................................

Tandatangan dan cap pencerap,

Tandatangan guru,

...................................................

.........................................

No. Keluaran
02

Tarikh Keluaran
No. Pindaan
01 NOVEMBER 2011
00
Hak Cipta Terpelihara@JPNSel.2010

Tarikh Pindaan

Anda mungkin juga menyukai