LAPORAN KES KESALAHAN DISIPLIN MURID

(Diisi Oleh Guru)

Tarikh:__________________________________________________________________________

Nama Murid:____________________________________________________________________

Tahun:__________________________________________________________________________

No Surat Beranak/ No Kad Pengenalan:______________________________________________

Kesalahan:_______________________________________________________________________

Tempat Kejadian:_________________________________________________________________

Butiran Kes:
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Saksi Kejadian:

1.

2.

3.

4.

Perakuan Guru Disiplin:

Saya mengaku bahawa murid di atas telah melakukan kesalahan disiplin. semua keterangan di atas
sesunggunya adalah benar dan dicatat bagi menentukan hukuman atas kesalahan murid.

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Disahkan Oleh: …………………………………………………………..

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