B BULI
J KENAKALAN
C ROKOK
D PONTENG
L KEKEMASAN DIRI
M PENGLIBATAN POLITIK
P KES KHAS
G KESALAHAN VANDALISME
MAKLUMAT PENGADU
Nama
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No. K/P
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Kelas
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Alamat
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Pekerjaan
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No. Tel.
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ADUAN KESALAHAN
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TINDAKAN
Tandatangan :
Amaran
Kaunseling
Rotan ....... kali
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(Nama :
)
Kelas tahanan
Tarikh :
: ...........................................................................
Tindakan lain
: ...........................................................................
Tandatangan saksi :
: ........................................................
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(Nama :
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Buang sekolah
: ........................................................
Tarikh :
: Tarikh