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BIODATA KOKURIKULUM BERKREDIT PENGAKAP KELANASISWA UTHM

( UQR 10701 )
HANAFI BIN OMAR
NAMA JURULATIH/PENGAJAR : .............................................................................................
2024 2 3
SESI: ............................ SEM : ...................... SEKSYEN : ............................
MUHAMMAD NOR HARITH BIN MOHD NOR HASYIMI
1. NAMA PENUH : ……………………………………………………………………....................................

2. NO. K/P 050316100397


: ..…………………………..................... TARIKH LAHIR : ...……………………...............
16/3/2005
3. NO. MATRIK
AA230591
: ................................... NO. TEL 0193177023
: ……………………...........................
PUSAT PENGAJIAN DIPLOMA
4. FAKULTI : ......................................................................................................................................

5. EMAIL nor.harith@icloud.com
: ......………………………………................. LELAKI
JANTINA : ………………….....................
MOHD NOR HASYIMI BIN ADAM 0193581550
6. NAMA WARIS : ... ................................................... NO. TEL WARIS: .....................................
NO. 1, JALAN DESA BESTARI 4, SALAK TINGGI, 43900 SEPANG,
7. ALAMAT WARIS : ........……………………....................…............................................................................................
SELANGOR.
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8. PENYAKIT( JIKA ADA) : ........………..................................................................................................................................

9. - ...............................................................................................................
ALAHAN MAKANAN/UBAT ( JIKA ADA ) :.........

PENGLIBATAN DALAM BERPENGAKAP / LAIN-LAIN BERUNIFORM DI SEKOLAH/IPTA/S:


PERSATUAN BULAN SABIT MERAH 2017
10. DI SEKOLAH KEBANGSAAN: ........………………………………............................ TAHUN : …………....................
PERSATUAN PENGAKAP 2020
11. DI SEKOLAH MENENGAH: ........………………………………............................... TAHUN : ……………................
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12. IPTA/S/MATRIK/POLITEKNIK/DIPLOMA : .............................................................. TAHUN : .......................................

13. KURSUS BERUNIFORM/PERSATUAN/KELAB YANG PERNAH DI IKUTI SEMASA DI SEKOLAH:


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14. ANUGERAH TERTINGGI DITERIMA DALAM BERPENGAKAP/BERUNIFORM/LAIN-LAIN:


AHLI AKTIF
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