‫ڤنيتيا ڤنديديقن الاسالم‬

SEKOLAH KEBANGSAAN LEFTENAN ADNAN

SUNGAI RAMAL LUAR, 43000 KAJANG, SELANGOR

BORANG MAKLUMAT GURU (2020)

NAMA: _______________________________________________

NO K/P: _______________________________________________

ALAMAT: _______________________________________________
_______________________________________________
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NO HP: ___________________________________________

NO FAIL JPS:____________________________________

TARAF PERKAHWINAN:____________________________

NAMA SUAMI/ISTERI:______________________________

PEKERJAAN SUAMI/ISTERI: ______________________

NAMA SEKOLAH : 1.______________________________

TERDAHULU 2.______________________________
3.______________________________

INSTITUT PENGAJIAN:_____________________________
_____________________________
OPSYEN: 1.MAJOR:___________________________________
2.MINOR:___________________________________

TARIKH MULA KHIDMAT:___________________________

KELAS/SUBJEK YANG DIAJAR: 1.___________________

2.___________________
3.___________________