ADUAN SALAH LAKU PELAJAR

ADUAN SALAH LAKU PELAJAR

MAKLUMAT PELAPOR1. Nama

: ___________________________ 2. Tingkatan : ______3. No. Kad Pengenalan: ___________________________

MAKLUMAT PELAJAR TERLIBAT1. Nama Pelajar Terlibat: ___________________________ Tingkatan : _______

No. Kad Pengenalan: ___________________________ Jantina : L / P

2. Nama Pelajar Terlibat: ___________________________ Tingkatan : _______

No. Kad Pengenalan: ___________________________ Jantina : L / P

3. Nama Pelajar Terlibat: ___________________________ Tingkatan : _______

No. Kad Pengenalan: ___________________________ Jantina : L / P

BUTIRAN SALAH LAKU1. Kes Salah laku

: ______________________________________________

2. Tarikh Kes

: _____________ 3. Masa Kes : _______________

PERINCIAN LAPORAN KES________________________________________________________________________

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Dilaporkan oleh,

Disahkan oleh,

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