IPG KAMPUS TENGKU AMPUAN AFZAN,KUALA LIPIS

LAPORAN AKTIVITI / PROGRAM

Nama Pelajar

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Jenis Aktiviti / Program

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Tarikh

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Masa

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Tempat

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Nama Guru Pembimbing / Mentor

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Kehadiran (Lampirkan Borang Kehadiran)

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BAHAGIAN A : AKTIVITI / PROGRAM YANG DIJALANKAN

[Sila lampirkan dokumen sokongan, jika ada]

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BAHAGIAN B : CATATAN REFLEKSI

(Diisi oleh Pelajar)

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FEBRUARI 2008

IPG KAMPUS TENGKU AMPUAN AFZAN,KUALA LIPIS

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BAHAGIAN C : BIMBINGAN
(Oleh Guru Penasihat / Guru Pembimbing / Mentor)

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Disemak oleh Guru Pembimbing/Mentor

Disahkan oleh Guru Besar

Tandatangan :

Tandatangan :

Nama

Nama

Tarikh

Tarikh

FEBRUARI 2008