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BORANG PENCALONAN PEMILIHAN

JAWATANKUASA PERWAKILAN PELAJAR (JPP)

INSTITUT PENDIDIKAN GURU KAMPUS PULAU PINANG LEKATKAN
GAMBAR

KERUSI YANG DITANDINGI : AHLI MAJLIS TERTINGGI /

* (PILIH SATU SAHAJA) AHLI MAJLIS MESYUARAT

A. Diisi oleh Calon

NAMA CALON : ______________________________________
NO. KAD PENGENALAN : ______________________________________
OPSYEN/UNIT : ______________________________________
SEMESTER : ______________________________________
TANDA TANGAN : ______________________________________
TARIKH : ______________________________________
CGPA TERKINI : ______________________________________

B. Diisi oleh Pencadang

NAMA PENCADANG : ______________________________________
NO. KAD PENGENALAN : ______________________________________
OPSYEN/UNIT : ______________________________________
SEMESTER : ______________________________________
TANDA TANGAN : ______________________________________
TARIKH : ______________________________________

C. Diisi oleh Penyokong

NAMA PENYOKONG : ______________________________________
NO. KAD PENGENALAN : ______________________________________
OPSYEN/UNIT : ______________________________________
SEMESTER : ______________________________________
TANDA TANGAN : ______________________________________
TARIKH : ______________________________________

Saya dengan ini menyertakan wang sebanyak RM20.00 sebagai cagaran. Saya juga
akur pada peraturan pilihanraya.

Disahkan oleh,

.......................................................
(CHE YUSOFF BIN CHE HASAN)
Pengerusi
Suruhanjaya Pilihanraya Kampus
IPG Kampus Pulau Pinang
PILIHANRAYA JPP IPGKPP SESI 2019/2020

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