buku log ppim 2012

Profil Diri

1. NAMA PENUH : ________________________________________________

2. NO. KAD PENGENALAN : ________________________________________

3. NOMBOR SURAT BERANAK : ____________________________________

4. ALAMAT RUMAH : ______________________________________________

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5. NOMBOR TELEFON : ___________________________________________

6. ALAMAT PENJAGA (JIKA BERLAINAN DARIPADA ATAS) :

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_________________________ NO. TELEFON : _______________________

7. TAHUN / TINGKATAN : __________________________________________

8. JAWATAN DALAM PPIM

BIL TAHUN NAMA JAWATAN YANG DI PEGANG

DARI HINGGA

1

Gambar Ukuran Pasport

9. PENILAIAN TAHAP

BIL NAMA SIJIL TAHUN LULUS

10.BUTIR KEAHLIAN

10.1 TAHUN MENJADI AHLI PPIM :

10.2 NOMBOR AHLI :

10.3 PEMBAYARAN YURAN

BIL TAHUN KADAR

YURAN

NOMBOR

RESIT

BIL TAHUN KADAR

YURAN

NOMBOR

RESIT

TANDATANGAN AHLI

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(NAMA : ) TARIKH : ________________

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FALSAFAH

FALSAFAH

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MATLAMAT

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OBJEKTIF

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LOGO PPIM

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BENDERA PPIM

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MOTTO / COGANKATA

LAGU PUTERI

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IKRAR PUTERI

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SULUHKATA

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STRUKTUR ORGANISASIPERGERAKAN PUTERI ISLAM MALAYSIA

1. PERINGKAT SEKOLAH

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2. PERINGKAT DAERAH / BAHAGIAN

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3. PERINGKAT NEGERI

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4. PERINGKAT KEBANGSAAN

CATATAN AKTIVITI

TARIKH : ________________________________________ MASA : __________

TAJUK : ____________________________________________________________

NAMA GURU PEMIMPIN / PENCERAMAH / FASILITATOR :

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PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

PENGISIAN AKTIVITI

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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CATATAN GURU PEMIMPIN

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