BORANG GERKO 7

UNIT KOKURIKULUM SMK TMN.SEMARAK, NILAI

LAPORAN PENYERTAAN PERTANDINGAN KOKURIKULUM
NAMA KELAB/PERSATUAN/
SUKAN/UNIT BERUNIFORM : KELAB ROBOTIK
PERTANDINGAN:
TARIKH
PERTANDINGAN:
TEMPAT
PERTANDINGAN:
ANJURAN:
PERINGKAT:
GURU PENGIRING:
(GURU PENASIHAT)
JUMLAH PESERTA:

PERTANDINGAN ROBOTIK PERINGKAT KEBANGSAAN ZON F-NEGERI

SEMBILAN
24 JUN 2014 (SELASA)
SM TEKNIK TUANKU JAAFAR
JABATAN PELAJARAN NEGERI SEMBILAN, SASBADI SENDIRIAN BERHAD,
KEMENTERIAN PELAJARAN MALAYSIA
Sekolah/ Zon/ Daerah/ Negeri/ Kebangsaan/ Antarabangsa
1. EN. MOHD ASRI BIN MOHD HASIM
2. PN. ROZELIND BINTI MOHD SHAH
3. PN. NOORUZAIDA BINTI IBRAHIM
4. PN. NOR HAZMIRA BINTI RAMLI
21

BIL
NAMA PENUH
TING
JANTINA
NO KAD PENGENALAN
1
2
Rujuk lampiran
3
4
5
6
7
8
9
10
(Jika jumlah pelajar melebihi 12 orang, gunakan borang lain untuk menulis nama pelajar)
Kejayaan yang dicapai
(nyatakan sama ada menjadi
Johan/ Kedua/ Ketiga/ Saguhati
dsb)

Hadiah yang
dimenangi:
(nyatakan sama ada menerima
piala/ jumlah wang tunai atau
hadiah-hadiah lain)

Tandatangan Guru :
Tarikh
:

UMUR

1. BEST TEAM SPIRIT KATEGORI TERBUKA MENENGAH ATAS

2. MENTOR TERBAIK KATEGORI TERBUKA MENENGAH ATAS
3. TEMPAT KE SEPULUH KATEGORI ROBOT REGULAR MENEGAH RENDAH
SPUTNIK
1. SIJIL KECEMERLANGAN
2. PLAG KEMENANGAN
14 JULAI2014

Tandatangan GPK Koku:

Tarikh
:

Jika guru ingin membuat pengubahsuaian laporan secara bertulis dan bergambar adalah amat digalakkan.

UPPER SECONDARY (REGULAR) SPACE STATION

1.

Team SMKTS ROVER 1

Teacher In Charge: EN. MOHD ASRI BIN MOHD HASIM
Teacher Contact: 012-6307526
Gender: MALE

Player
No

Name

Sex

Age

Form

Date of
Birth

1.

IDZHAM RIZAL BIN JAMSARI

16

02/03/1998 980201-01-8812

2.

MUHAMMMAD ALIFF AIMAN BIN AMIRUDIN

16

26/08/1998 980826-04-5405

3.

LUQMAN HAKIM BIN MOHD JANI

16

Sex

Age

Form

2.

17/11/1998

Identify No

981117-07-5091

Team SPACE INVADERS

Teacher In Charge: PN. ROZELIND BINTI MOHD SHAH
Teacher Contact: 012-2379873
Gender: FEMALE

Player
No

Name

1.

MOHD QAYYUM BIN MAYUDIN

17

08/11/1997

971108-05-5209

2.

AINA SHAFYYAH BINTI ABU SAFIAN

17

10/08/1997

970810-38-5262

3.

NUR EFFENDY BIN OMAR

17

03/03/1997

970303-05-5209

Sex

Age

Form

3.

Date of Birth Identify No

Team ORIGINAL FAKE

Teacher In Charge: PN. NOORUZAIDA BINTI IBRAHIM
Teacher Contact: 012-9481204
Gender: FEMALE

Player No

Name

1.

MUHAMMAD AZIZI BIN MUMAD AHSIN

16

05/07/1998

980705-56-5009

2.

ZAIFUL ALIF IZHAM BIN ZAINURIN

16

15/01/1998

980115-10-5563

3.

IZWAN KHUZZAIRIE BIN AZHAR AHMAD

16

23/02/1998

980223-08-5133

Sex

Age

Form

Date of Birth

Identify No

4.

Date of Birth Identify No

Team SMKTS SPACE ROCKET

Teacher In Charge: PN. NORHAZMIRA BINTI RAMLI
Teacher Contact: 013-4021345
Gender: FEMALE

Player
No

Name

1.

MOHAMMAD ZUHRIE NAIM BIN ZULKIFLI

16

04/11/1998

981104-10-5327

2.

MUHAMMAD ZULKARNAIN BIN AINOL JAMAL

16

18/01/1998

980118-56-5047

3.

AHMAD SADIQ BIN ABD MAJID

16

03/09/1998

980903-10-5265

LOWER SECONDARY (REGULAR)- SPUTNIK

1.

Team TWINKLE
Teacher In Charge: PN. ROZELIND BINTI MOHD SHAH
Teacher Contact: 012-2379873
Gender: FEMALE

Player
No

Name

1.

Sex

Age

Form

Date of Birth

Identify No

NURSYAFIQAH BINTI SYAMSUL ANUAR

15

08/03/1999

990308-14-5552

2.

FATIN SABRINA BINTI MUHAMAD JAMIL

15

13/02/1999

990213-14-5138

3.

FATIN NUR DIYANAH BINTI MOHD FIRDAUS

TSEN

15

15/03/1999

990315-05-5336

UPPER SECONDARY (ROBOT OPEN)

Team SMKTS UFO
Teacher In Charge: EN. MOHD ASRI BIN MOHD HASIM
Teacher Contact: 012-6307526
Gender: MALE
Player No Name

Sex

Age

Form

Date of Birth

Identify No

1.

NUR ADILLA BINTI MOHD MARZUKI

17

08/01/1997

970108-14-6130

2.

NURSYAMIRA BINTI RAHIM

17

30/11/1997

971130-05-5010

3.

NURUL LIYANA BINTI AZMI

17

11/05/1997

970511-06-5226

LOWER SECONDARY (OPEN)

Team SMKTS ONE
Teacher In Charge: PN. ROZELIND BINTI MOHD SHAH
Teacher Contact: 012-2379873
Gender: FEMALE
Player
No

Name

1.

Sex

Age

Form

Date of Birth

Identify No

MUHAMMAD ANIQ IRFAN BIN M. NOOR

AZMAN

14

12/01/2000

000112-14-1423

2.

MUHAMAD AIDIL BIN MOHD SHARIF

14

02/07/2000

000702-01-1629

3.

MUHAMMAD MUZAMMIL BIN SAMSUDIN

14

16/03/2000

000316-10-0885