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    748 views1 page

    2-Borang Peribadi Pelajar

    Uploaded by

    Siti Nurul Ain

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    BORANG PERIBADI PELAJAR

    KOLEJ RISDA MELAKA (324821-V)


    Lot 2020, Ayer Paabas, 78000 Alor Gajah, Melaka
    No. Tel : 06-5529227 / 5529642
    Faks: 06-5529963
    Laman web : http://www.kolejrisda.edu.my
    Email : admin@kolejrisda.edu.my

    NO. MATRIK : ___________________________


    SEMESTER PERTAMA SESI 2012/2013

    KURSUS :

    MAKLUMAT PERIBADI PELAJAR


    NAMA

    NO. KP
    TARIKH LAHIR

    UMUR

    TAHUN

    BANGSA

    M-Melayu / C-Cina / I-India / L-Lain-lain

    JANTINA

    P-Perempuan, L-Lelaki

    WARGANEGARA

    W-Warganegara

    AGAMA

    I-Islam, B-Buddha

    N-Bukan Warganegara

    H-Hindu, K-Kristian
    L-Lain-lain

    STATUS OKU

    YA / TIDAK (Jenis Kecacatan : _________________________________________________________ )

    ALAMAT

    POSKOD

    BANDAR

    NEGERI
    TEL (R)
    TEL (HP)

    STATUS IBU/BAPA (TANDAKAN X) :


    PEKEBUN KECIL
    BEKERJA (ADA MAJIKAN)
    BEKERJA SENDIRI / LAIN-LAIN

    EMEL

    MAKLUMAT IBU/BAPA/PENJAGA PELAJAR


    NAMA BAPA/PENJAGA : ______________________________

    NAMA IBU/PENJAGA : ________________________________

    ___________________________________________________

    ___________________________________________________

    NO. KP : ___________________________________________

    NO. KP : ___________________________________________

    ALAMAT SURAT-MENYURAT : _________________________

    ALAMAT SURAT-MENYURAT : _________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    BANGSA : __________________________________________

    BANGSA : __________________________________________

    WARGANEGARA : ___________________________________

    WARGANEGARA : ___________________________________

    PEKERJAAN : _______________________________________

    PEKERJAAN : _______________________________________

    NAMA & ALAMAT MAJIKAN : __________________________

    NAMA & ALAMAT MAJIKAN : __________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    ___________________________________________________

    PENDAPATAN : RM __________________________________

    PENDAPATAN : RM __________________________________

    TANGGUNGAN : _____________________ ORANG

    TANGGUNGAN : _____________________ ORANG

    TELEFON : _________________________________________

    TELEFON : _________________________________________

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