PK03 - 2

BORANG MAKLUM BALAS DAPATAN PEMANTAUAN

(Diisi oleh lokasi dan diberikan kepada pemantau bersama borang PK03-1 dalam tempoh
14 hari bekerja)
Nama Lokasi

Tarikh Pemantauan

Bil
1

MAKLUM BALAS
Isu dikenalpasti (merujuk kepada dapatan pemantauan):
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TINDAKAN PEMBETULAN
a) Punca
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b) Tindakan Bagi Selesai Punca

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* Sila gunakan lampiran jika ruangan tidak mencukupi

Tandatangan/ Cap Lokasi

Tarikh : .

Hak Cipta Terpelihara Bahagian Pengurusan Sekolah Harian

1 Februari 2015 - Keluaran 02| Pindaan 00