LAPORAN EKSEKUTIF

1.0 Nama pegawai / No Kad pengenalan / No fail Jabatan :

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2.0 Sekolah :
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3.0 Kursus :
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4.0 Tarikh Kursus :

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5.0 Tempat Kursus :

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6.0 Perkara yang ditaklimatkan / Pengisian Kursus :

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7.0 Tindakan susulan :

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Laporan oleh:

( NAMA DAN JAWATAN )

Tarikh : _____________________________