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MAKLUMAT PERIBADI MURID

NAMA : ............................................................................................................................................
NO IC/SURAT BERANAK: .................................................................................................................
ALAMAT : .........................................................................................................................................
KELAS: .............................................................................................................................................
HOBI: ..............................................................................................................................................
CITA-CITA : ......................................................................................................................................
NAMA IBU BAPA /PENJAGA: ............................................................................................................
PEKERJAAN BAPA: ....................................................................................................................
PEKERJAAN IBU : ....................................................................................................................
PEKERJAAN PENJAGA: ....................................................................................................................
BIL

AKTIVITI YANG DIIKUTI DAN DIMENANGI SILA


TULIS (Sila tulis Johan, Naib Johan, ke -3,
dll)

PERINGKAT SEKOLAH, DAERAH, BAHAGIAN,


NEGERI ATAU KEBANGSAAN- SILA NYATAKAN

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