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LAPORAN KES KESALAHAN DISIPLIN MURID

(Diisi Oleh Guru)

Tarikh:__________________
:_____________________________________
_______________________________________
_____________________________________ 
_________________ 

Nama Murid:_____________________
:________________________________________
______________________________________
____________________________ 
_________ 

Tahun:____________________________________
:________________________________________________________
______________________________________ 
__________________ 

No Surat Beranak/ No Kad Pengenaan :______________________________________________ 

Ke!aahan:____________________
:________________________________________
_______________________________________
_______________________________ 
____________ 

Tem"at Ke#adian:____________________
:_______________________________________
______________________________________
__________________________ 
_______ 

Butiran Ke!:
 ______________________________________
 _________________________________________________________
______________________________________
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 ______________________________________
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 ______________________________________
 _________________________________________________________
______________________________________
_________________________ 
______ 
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 _________________________________________________________
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_________________________ 
______ 
 ______________________________________
 _________________________________________________________
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 ______________________________________
 _________________________________________________________
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Sak!i Ke#adian:

1.

2.

3.

Perakuan $uru Di!i"in:

Saya mengaku bahawa murid di atas telah melakukan kesalahan disiplin. semua keterangan di atas
sesunggunya adalah benar dan diatat bagi menentukan hukuman atas kesalahan murid.

!!!!!!!!!!!!!!!!!!!!...........
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Disahkan Oleh: !!!!!!!!!!!!!!!!!!!!!!..


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