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(B 01)

BORANG ADUAN SALAH LAKU MURID

(Untuk Murid/Guru/Ibu bapa/Penjaga)

Nama murid yang diadu :______________________________________________________________

Tingkatan/Tahun :______________________________________________________________

Tarikh & masa kejadian : _____________________________________________________________

Aduan kesalahan : _____________________________________________________________

__________________________________________________________________________________
__________________________________________________________________________________

Cadangan :______________________________________________________________

__________________________________________________________________________________
__________________________________________________________________________________

Tandatangan Pengadu : Tarikh :______________________

Nama murid/guru/ibu bapa/penjaga :________________________________________________

Alamat :________________________________________________

_________________________________________________________________________________

No.Tel Bimbit :________________________________________________

(Segla maklumat pengadu dirahsialan)

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