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borang tukar sekolah

borang tukar sekolah

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Published by abahspa@lmm
Borang pertukaran pelajar antara Maktab Mahmud
Borang pertukaran pelajar antara Maktab Mahmud

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Published by: abahspa@lmm on May 05, 2008
Copyright:Attribution Non-commercial

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04/01/2013

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BAHAGIAN PENGURUSAN AKADEMIKDAN PEMBANGUNAN KEMANUSIAANLEMBAGA MAKTAB MAHMUDPERMOHONAN PERTUKARAN PELAJAR DI ANTARA MAKTAB MAHMUDNEGERI KEDAH DARUL AMAN
(
Sila kemukakan dua salinan ke pejabat Bahagian Pengurusan Akademik)
 
Dari Maktab Mahmud .......................................... ke Maktab Mahmud ...........................................MAKLUMAT / BUTIRAN PERTUKARAN
 1. Nama Penuh : ...........................................................................................................................2. Jantina : .................................. 3. No. Kad Pengenalan : ...............................................4. Tarikh Lahir : ..................................5. Bangsa :.................................................6. Tarikh Pendaftaran di Maktab Mahmud sekarang : ..........................................................................7. Nama Biasiswa / Dermasiswa * : ....................................................................................................Jumlah Setahun RM : ....................................................................................................8. Tingkatan Terakhir Semasa Permohonan ini di buat : ..........................................................................9. Kelulusan Akademik : 9.1. Peperiksaan Penggal ................................. : ............................. %9.2. PMR : .........................................................................9.3. SMRAMM : .........................................................................9.4. Lain-lain : .........................................................................(
Sila lampirkan satu salinan sah keputusan peperiksaan penggal/PMR/ SMRAMM dan lain-lain*).
 10. Nama Ibu/Bapa/Penjaga : ................................................................................................................11. No. Kad Pengenalan : ................................................................................................................12. Alamat Ibu/Bapa/Penjaga : ................................................................................................................. ................................................................................................................. ................................................................................................................13. No. Tel. Ibu/Bapa/Penjaga : (R) : ……………………………………………………….(H/P) : ………………………………………………………..(P)
 
: ………………………………………………………..
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
 
14. Sebab-sebab Pertukaran : ………………………………………………………………….………………………………………………………………….15. Tarikh Pertukaran yang Dikehendaki : ………………………………………………………………….…………………………………………. …………………………………………….
Tandatangan Pelajar Tandatangan Ibu/Bapa/Penjaga
Tarikh : …………………………………
Nota :
 
Sila kemukakan dokumen-dokumen yang boleh menyokong permohonan ini.
------------------------------------------
Untuk kegunaan pejabat sekolah
--------------------------------------------
Permohonan ini disokong / tidak disokong *Ulasan Pengetua : ..................................................................................................................................................................................................... Tarikh : .....................................................
Tandatangan dan Cop Rasmi
Nota :
 
Sila pastikan pemohon telah menjelaskan segala bayaran yang ditetapkan/ menyerahkankesemua buku/peralatan yang dipinjam dan dokumen-dokumen yang berkaitan matapelajaran sebelum pengetua menyokong permohonan ini.
-----------------------------
Untuk kegunaan Bahagian Pengurusan Akademik LMM 
---------------------------
Permohonan ini diluluskan / tidak diluluskan *Pertukaran berkuat kuasa mulai : ............................................................................................................................................................................................. Tarikh : ...................................................
Tandatangan Ketua BPA&PK dan Cop Rasmi
*
 potong yang tidak berkenaan
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.

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