BORANG PELAPORAN AKTIVITI KOKURIKULUM

1.Nama Sekolah : SK Haji Kassim Jasin, Selengkoh, Yan, Kedah.

2.Unit Beruniform/ Kelab dan Persatuan/ Sukab & Permainan :
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3. Nama Guru :_____________________________________________
4. Jumlah ahli : L = ______ ; P = _________ Keseluruhan : __________
5. Tarikh & Masa : _____________________________________________
6. Tajuk aktiviti :
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7. Objektif aktiviti : _____________________________________________
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8. Sisipan aktiviti PIKeBM :
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9. Laporan aktiviti mingguan :
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10. Refleksi dan impak :
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11. Ulasan Guru :
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Disediakan oleh: Disemak oleh :

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