SMK DATO’ HAJI MOHD REDZA

JALAN SIKAMAT, 70400 SEREMBAN, NEGERI SEMBILAN DARUL KHUSUS

NO. TEL : 06-7617281 NO. FAKS : 06-7677064

E-MAIL : nsmkdhmr@tm.net.my

KOD SEKOLAH : NEA4101

“DISIPLIN ASAS PEMBENTUKAN JATI DIRI”

UNIT DISIPLIN DAN PEMIMPIN MURID

SMK DATO’ HAJI MOHD REDZA,

70400, SEREMBAN,

NEGERI SEMBILAN

PENGAKUAN BERTULIS KES SALAH LAKU PELAJAR

NAMA : ________________________________________________________________

NO. KAD PENGENALAN : ________________________________________________________________

TINGKATAN : ________________________________________________________________

KES SALAH LAKU : ________________________________________________________________

TARIKH : ________________________________________________________________

LAPORAN PENGAKUAN : ________________________________________________________________

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YANG BENAR, DISAHKAN OLEH,

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