LAMPIRAN B

KOLEJ VOKASIONAL KUALA

KANGSAR
33700 PADANG RENGAS
PERAK

PERMOHONAN UNTUK MENGELUARKAN WANG BIASISWA

1.

Nama : ................................................................................................................

2.

Tingkatan : .........................................................................................................

3.

No. Kad Pengenalan : ........................................................................................

4.

No. Biasiswa : ....................................................................................................

5.

No. Buku Akaun: ................................................................................................

6.

Jumlah yang diperlukan : RM ............................................................................

(Ringgit Malaysia : ............................................................................................)

7.

Tujuan wang dikeluarkan :7.1 : ................................................................................ RM .............................

7.2 : ................................................................................ RM .............................
7.3 : ................................................................................ RM .............................
JUMLAH

......................................
Tandatangan Murid

RM ............................

.................................................................
Tandatangan Ibu Bapa / Warden Murid

1.

Permohonan diluluskan / tidak diluluskan.

2.

Buku Akaun Bank mesti dikembalikan pada ..........................................

.................................
Tarikh

.................................................
(Tandatangan Guru Biasiswa)
Pengesahan Bank & Cop Bank