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BAHAGIAN KOKURIKULLUM SK KAPIT

BIODATA GURU PENASIHAT GAMBAR


KELAB / PERSATUAN
TAHUN ……………

LATARBELAKANG:

NAMA: …………………………………………………………………………………..

UMUR:………….. TARIKH LAHIR:………………………… NO. I/C: ……………………………

WARGANEGARA:……………………… NEGERI KELAHIRAN: ……………………………………

STATUS:……………………… JANTINA: L / P

PENDIDIKAN
AKADEMIK: ....................................................... INSTITUSI :…………………………………………

ISKTISAS : …………………………………………. INSTITUSI:………………………………………..

LATARBELAKANG KOKURIKULUM:

BERPERSATUAN:………………………………………………. INSTITUSI:……………………….

BADAN BERUNIFORM: ……………………………………………. INSTITUSI:………………………

SUKAN:……………………………………………… INSTITUSI……………………….

SILA NYATAKAN SIJIL – SIJIL KKOKURIKULUM:

SIJIL SUKAN:

1. ...............................................................................................................

2. ..................................................................................................................

3. ..................................................................................................................

SIJIL BADAN BERUNIFORM:

1. ....................................................................................................................

2. ......................................................................................................................

3. .....................................................................................................................

SIJIL PERSATUAN / KELAB:

1. ....................................................................................................................

2. ........................................................................................................................

3. .......................................................................................................................

Semua butir – butir di atas adalah benar mengenai saya.

Yang Benar,

.....................................................
( ) Tarikh:

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