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BORANG PERMOHONAN CUTI

Nama Guru : ___________________________________________________


Tarikh : ___________________________________________________
Hari : ___________________________________________________
Sebab Permohonan Cuti: ___________________________________________________
PERTUKARAN / PINDAAN KELAS
Tarikh/ Hari Masa 1 Masa 2 Masa 3 Masa 4 Masa 5 Masa 6 Catatan
Tarikh Asal/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru
_______________ _______________ _______________ _______________ _______________ _______________ _______________________
Tarikh Dipinda/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas
_______________ _______________ _______________ _______________ _______________ ______________ _______________________

Tarikh Asal/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru
_______________ _______________ _______________ _______________ _______________ _______________ _______________________
Tarikh Dipinda/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas
_______________ _______________ _______________ _______________ _______________ _______________ _______________________
Tarikh Asal/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru
_______________ _______________ _______________ _______________ _______________ _______________ _______________________
Tarikh Dipinda/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas
_______________ _______________ _______________ _______________ _______________ _______________ _______________________
Tarikh Asal/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru Pertukaran Guru
_______________ _______________ _______________ _______________ _______________ _______________ _______________________
Tarikh Dipinda/ hari Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah Kelas/ Madah
________________ _______________ _______________ _______________ _______________ _______________ _______________ _______________________
Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas Gantian Kelas
_______________ _______________ _______________ _______________ _______________ _______________ _______________________

Tanda Tangan Pemohon : ________________________________ Diluluskan / Tidak diluluskan : ______________________


Tarikh Permohonan : ________________ Tanda tangan Mudir/ SU : ______________________
*Permohonan perlu dibuat dalam tempoh lima (5) hari sebelum mengambil cuti

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