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  • BRG Pengembalian Murid2

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    PremiPRIYA
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    Pemulihan

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    Brg Pengembalian Murid2

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    Pemulihan

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views3 pages

    BRG Pengembalian Murid2

    Uploaded by

    PremiPRIYA
    Pemulihan

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    SJK(T) THIRUVALLUVAR, TELUK INTAN.

    BORANG PENGEMBALIAN MURID PEMULIHAN KE


    KELAS PERDANA.

    NAMA MURID : ……………………………………………..........


    …………………………………………
    DARJAH : …………..…………….. UMUR : ………………………………
    JANTINA : …………………………. TARIKH PENGEMBALIAN :…………………

    SEBAB PENGEMBALIAN :
    …………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………….

    PENINGKATAN / PERUBAHAN :
    …………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………….

    CATATAN GURU PEMULIHAN :


    …………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………….

    T/TANGAN GURU PEMULIHAN T/TANGAN GURU KELAS

    ____________________________________________
    _________________________________________
    (PREMA A/P GORNDASAMY) TARIKH :….………………….……..

    SJK(T) THIRUVALLUVAR,
    TELUK INTAN ,PERAK

    Maklumat Murid Pemulihan

    1. Nama :____________________________________________________
    2. Tarikh Lahir : ____________________________________________________
    3. No.Sijil Lahir:
    ____________________________________________________
    4. Alamat :____________________________________________________
    ____________________________________________________
    5. Jantina : Lelaki / Perempuan
    6. Kaum : India
    7. Warganegara: Malaysia
    Maklumat Bapa Murid / Penjaga

    1. Nama : ____________________________________________________
    2. No. K/P : ____________________________________________________
    3. Pekerjaan : ____________________________________________________
    4. Alamat Pejabat : __________________________________________________
    ___________________________________________________

    5. No. Tel. Pejabat : __________________________________________________


    6. No. Tel. Rumah : __________________________________________________
    7. Warganegara : Malaysia
    8. Kaum : India

    Maklumat Ibu Murid / Penjaga

    1. Nama : ____________________________________________________
    2. No. K/P : ____________________________________________________
    3. Pekerjaan : ____________________________________________________
    4. Alamat Pejabat : __________________________________________________
    ___________________________________________________

    5. No. Tel. Pejabat : __________________________________________________


    6. No. Tel. Rumah : __________________________________________________
    7. Warganegara : Malaysia
    8. Kaum : India

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