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“MENYERLAH MENJANA KECEMERLANGAN”

BUTIR-BUTIR PERIBADI

1. Nama : ____________________________________________________________
2. Alamat : ____________________________________________________________
3. No Telefon : _________________________ (R). _____________________ (Tel. Bimbit).

4. No Kad Pengenalan : --


4. Alamat Pejabat : ____________________________________________________________
5. E-mail : ______________________ (rasmi). _____________________ (tidak rasmi).
6. Tarikh mula bertugas di sekolah semasa : ________________________
7. Tarikh Lantikan Pertama : __________________________
8. Tarikh Lantikan Semasa : __________________________
9. Kategori Sekarang : __________________________
10. Kelulusan Akademik Tertinggi : __________________________
11. Institusi dan Tahun Kelulusan : ___________________________________________________
12. Kelulusan Ikhtisas : ___________________________________________________
13. Institusi dan Tahun ikhtisas : ___________________________________________________
14. Opsyen Pertama : ___________________________________________________
15. Opsyen Kedua : ___________________________________________________
16. Mata pelajaran diajar sekarang : ___________________________________________________
17. Tugas-tugas yang diamanahkan :
17.1 Pentadbiran : ___________________________________________________
: ___________________________________________________
17.2 Hal Ehwal Murid : ___________________________________________________
: ___________________________________________________
17.3 Kokurikulum : ___________________________________________________
: ___________________________________________________
18. Tugas-Tugas Khas : ___________________________________________________
: ___________________________________________________

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