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BSF LEMBAGA PEPERIKSAAN MALAYSIA KEMENTERIAN PELAJARAN MALAYSIA BATCH SCORE FORM INFORMATION AND COMMUNICATION TECHNOLOGY CENTRE

CODE: ____________________ SCHOOL CODE: ____________________


LA1.SO No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Index Number Identity Card Number Name 1. 1 1. 2 2. 1 3. 1 LA2.SO 4. 1 5. 1 6. 1

YEAR:____________________
LA3.SO 6. 2 7. 1 LA4.S 8. 1 9. 1 LA5.S 10 .1 11 .1 LA6.S 12 .1 13 .1 total

Assessors Declaration This is to certify that the ICT coursework scores have been awarded in accordance with the requirements of the syllabus and that every reasonable step has been taken to ensure that the work presented is the candidates own work. Assessors Signature ---------------------------------Name : Date :

Internal Verifiers Declaration I confirm that the assessors declaration above is true. Internal Verifiers Signature ---------------------------------Name : Date : Schools Official Stamp: