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HEP-PELAJAR 005-1

NAME
IC No. / PASSPOT
DATE OF ENTRY
DATE OF GRADUATION
MATRIC NO.
PROGRAMME

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STUDENT INVOLVEMENT IN CO-CURRICULUM ACTIVITIES


Project / Activity

Year

Position / Details

Endorsed by : (Name & Signature)

Club / Society

Year

Position / Details

Endorsed by : (Name & Signature)

Sports

Year

Position / Details

Endorsed by : (Name & Signature)

Achievement / Awards

Year

Position / Details

Endorsed by : (Name & Signature)

* Additional information can be attached to this form

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