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PK 12/1

SJK(T) TUN SAMBANTHAN


BORANG ADUAN PELANGGAN
1. Nama Pengadu:...................................................................................................................
2. Alamat Pengadu:.................................................................................................................
3. No Telefon:..........................................................................................................................
4. Tandatangan

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Tarikh:.........................................

5. Nama Penerima Aduan:......................................................................................................


6. Tandatangan

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

Tarikh:.........................................

7. Perihal Aduan:
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
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.............................................................................................................................................
URUSAN SEKOLAH
7. Tindakan:.............................................................................................................................
8. Catatan:...............................................................................................................................
9. Tandatangan
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Tarikh Keluaran
4 Januari 2012

No Keluaran
01

Tarikh:..........................................

No Pindaan
00

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