Borang Penyertaan Pertandingan Sukan Rakyat Tarikh : 09/11/2011 Masa : 09.00 11.

00 pagi Tempat : SK Seri Lagenda

Nama Sekolah: SJK (T) LADANG SUNGAI RAYA, LANGKAWI Nama peserta DEEBAN A/L MURUKAYA KARTIK RAJ A/L VADIVELOO KUMUTHAN A/L KAMALATHAN MURALIDASAN A/L MARIMUTHU PREM KUMAR A/L ANBALAGAN PUVILAN A/L SELVARAJA SHASITARAN A/L MANOHARAN SRITHARAN A/L KANDASAMY VISHNU A/L AGILAN SHRI RAM A/L SHANKAR CHANDRIGA A/P SEKARAN DEEVIYAH A/P MUNIANDY DWAYSCNI A/P GHANASEGARAN KIEBASHINI A/P MUTHALAGAN RANJINI A/P RAMAN SANGGETHA A/P POOBALAN SASINA A/P RAMESH SHIVAANI A/P KUMAR SUGINDRI A/P LINGASVARAN KAMARISH A/L THIWIAGARAN No I/C No. Sijil Kelahiran AS 59493 AS 75257 AS 08422 AS 75217 AS 59602 AS 08543 AS 75145 EQ 46761 AN 89757 AS 59465 AS08473 AS 08446 AT 48251 AS 75218 AN 89791 KBA 001 AS 75152 AS 59406 AS 75124 AS 59565

Nama Guru Pengiring Pn. P. KANMANI CIK. HAEMA

No.Kad Pengenalan 840922-14-5380 821108-07-5492

PENGESAHAN

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