19 pk03-2 borang maklum balas dapatan pemantauan 2015

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PK03 - 2 Hak Cipta Terpelihara © Bahagian Pengurusan Sekolah Harian 1 Februari 2015 - Keluaran 02| Pindaan 00 BORANG MAKLUM BALAS DAPATAN PEMANTAUAN (Diisi oleh lokasi dan diberikan kepada pemantau bersama borang PK03-1 dalam tempoh 14 hari bekerja) Nama Lokasi : Tarikh Pemantauan : Bil MAKLUM BALAS 1 Isu dikenalpasti (merujuk kepada dapatan pemantauan): ______________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________ TINDAKAN PEMBETULAN a) Punca ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ b) Tindakan Bagi Selesai Punca ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ * Sila gunakan lampiran jika ruangan tidak mencukupi Tandatangan/ Cap Lokasi ……………………………… Tarikh : ……………………….

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Page 1: 19 Pk03-2 Borang Maklum Balas Dapatan Pemantauan 2015

PK03 - 2

Hak Cipta Terpelihara © Bahagian Pengurusan Sekolah Harian 1 Februari 2015 - Keluaran 02| Pindaan 00

BORANG MAKLUM BALAS DAPATAN PEMANTAUAN

(Diisi oleh lokasi dan diberikan kepada pemantau bersama borang PK03-1 dalam tempoh 14 hari bekerja)

Nama Lokasi :

Tarikh Pemantauan :

Bil MAKLUM BALAS

1

Isu dikenalpasti (merujuk kepada dapatan pemantauan): ______________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________

TINDAKAN PEMBETULAN a) Punca

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

b) Tindakan Bagi Selesai Punca

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

* Sila gunakan lampiran jika ruangan tidak mencukupi

Tandatangan/ Cap Lokasi

……………………………… Tarikh : ……………………….