BORANG DGA32 TIME-BASED KE HAKIKI

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BORANG DGA32 TIME-BASED KE HAKIKI

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9.

Anugerah/ Surat Kepujian/ Penghargaan Bil

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Yang Pernah Diterima

: Daripada & Tahun

Anugerah/ Surat Kepujian/ Penghargaan

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BORANG TATATERTIB ( hanya bagi pegawai yang mempunyai kes T/Tertib/ Surcaj atau SPRM)

1. 2. 3. 4.

Nama Pegawai No. Kad Pengenalan Jawatan Tempat Bertugas

: : : :

5.

Jenis Kesalahan

6.

Status Kes

TANDATANGAN : (Ketua Jabatan) NAMA : JAWATAN :

TARIKH :

COP RASMI :

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