Anda di halaman 1dari 2

BORANG BANTAHAN

MAJLIS SUKAN SMK ZAINAB (1), KOTA BHARU KELANTAN


NO. ACARA
: .................................
ACARA
:..................................
KATEGORI : A / B
AKHIR/SEPARUH AKHIR/SARINGAN (

Nombor Peserta / Pasukan yang bersalah :


Tempat Kesalahan
Masa Kesalahan

BUTIR-BUTIR KESALAHAN
.........................................................................................................................
................................
.........................................................................................................................
................................
..............................................
.......
Tandatangan

Pengurus

Pasukan
(Untuk Kegunaan Pegawai)
Tarikh dan Masa Diterima
diterima : ................................

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

Bayaran

RM200.00

Keputusan
.....................................................................................................
............................................
..............................
.............
Refferi
Keputusan

.....................................................................................................
............................................
..............................
.............
Pengerusi Juri
Rayuan