1.1 Nama Aktiviti : _____________________________________ 1.2 Peringkat : _____________________________________ 1.3 Penganjur : _____________________________________ 1.4 Tarikh : _____________________________________ 1.5 Masa : _____________________________________ 1.6 Tempat : _____________________________________ 1.7 Sasaran : _____________________________________ 1.8 Perasmi (Nama Penuh& Jawatan) – jika ada : ________________________________________________________ 1.9 Gambar sepanjang aktiviti (sekurang-kurangnya 3 keping) (Lampiran)
2.0 PENILAIAN AKTIVITI
2.1 Kekuatan Program 2.1.1 ____________________________________________________ 2.1.2 ____________________________________________________ 2.1.3 ____________________________________________________