SMK PALONG TIMUR SMK PALONG TIMUR

BORANG MAKLUMAT MURID BORANG MAKLUMAT MURID

1. NAMA MURID : ______________________________________________________________ 7. NAMA MURID : ______________________________________________________________

2. TARIKH LAHIR : _______________________________________________________________ 8. TARIKH LAHIR : _______________________________________________________________
3. TEMPAT LAHIR : ______________________________________________________________ 9. TEMPAT LAHIR : ______________________________________________________________
4. NO SURAT BERANAK : _________________________________________________________ 10. NO SURAT BERANAK : _________________________________________________________
5. NO I/C : ____________________________________________________________________ 11. NO I/C : ____________________________________________________________________
6. AGAMA : _________________________________ 7. BANGSA : ________________________ 12. AGAMA : _________________________________ 7. BANGSA : ________________________

8. ALAMAT TERKINI : ____________________________________________________________ 8. ALAMAT TERKINI : ____________________________________________________________

9. KELAB/PERSATUAN : __________________________________________________________ 9. KELAB/PERSATUAN : __________________________________________________________

10. BADAN UNIFORM : ___________________________________________________________ 10. BADAN UNIFORM : ___________________________________________________________

11. SUKAN/PERMAINAN : _________________________________________________________ 11. SUKAN/PERMAINAN : _________________________________________________________

12. RUMAH SUKAN : _____________________________________________________________ 12. RUMAH SUKAN : _____________________________________________________________

13. JAWATAN (CTH : PENGAWAS) : _________________________________________________ 13. JAWATAN (CTH : PENGAWAS) : _________________________________________________

MAKLUMAT BAPA /PENJAGA MAKLUMAT BAPA /PENJAGA

1. NAMA : ____________________________________________________________________ 7. NAMA : ____________________________________________________________________

2. NO I/C : ____________________________________________________________________ 8. NO I/C : ____________________________________________________________________
3. NO H/P : ___________________________________________________________________ 9. NO H/P : ___________________________________________________________________
4. PEKERJAAN : ________________________________________________________________ 10. PEKERJAAN : ________________________________________________________________
5. ALAMAT TEMPAT KERJA : ______________________________________________________ 11. ALAMAT TEMPAT KERJA : ______________________________________________________
6. GAJI : ______________________________________________________________________ 12. GAJI : ______________________________________________________________________

MAKLUMAT IBU MAKLUMAT IBU

1. NAMA : ____________________________________________________________________ 7. NAMA : ____________________________________________________________________

2. NO I/C : ____________________________________________________________________ 8. NO I/C : ____________________________________________________________________
3. NO H/P : ___________________________________________________________________ 9. NO H/P : ___________________________________________________________________
4. PEKERJAAN : ________________________________________________________________ 10. PEKERJAAN : ________________________________________________________________
5. ALAMAT TEMPAT KERJA : ______________________________________________________ 11. ALAMAT TEMPAT KERJA : ______________________________________________________
6. GAJI : ______________________________________________________________________ 12. GAJI : ______________________________________________________________________