Checklist MSSD Daerah 2019

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NAMA SEKOLAH/PASUKAN : ____________________________________________

DOKUMEN ADA/ CATATAN

TIADA

KAD PENGENALAN/ SIJIL

LAHIR

SALINAN KAD
PENGENALAN/ SALINAN
SIJIL LAHIR (MESTI
DISAHKAN PGB/PKKOKUM)

BORANG M01

- GAMBAR

- COP SEKOLAH (DI

GAMBAR UTK SK)

- NO. DAFTAR SEKOLAH

- ANGKA GILIRAN

BORANG KEBENARAN
IBUBAPA/PENJAGA

KAD PESERTA
-(BERGAMBAR )

- TANDATANGAN
PGB/PKKOKUM & COP
SEKOLAH)

- NO. ACARA

DISEMAK OLEH: DIPERAKU OLEH

_____________________________ ________________________

( ) ( )

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