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SEKOLAH KEBANGSAAN SERI RELAU

JALAN PAYA TERUBONG

11900 BAYAN LEPAS  PULAU PINANG

 _____________________________________________________________________________ Ruj. Kami :

Tarik :

Guru B!"ar#

S!k$%a K!&a'("aa' S!ri R!%au#

Tua'#

PERAKUAN MENGGUNAKAN KENDERAAN SENDIRI UNTUK MEMBAWA MURID

SEBAGAI GURU PENGIRING

)!'(a' "!(a%a $rma*'+a "a+a ...........................................................................

 N$ KP :................................&!r"!*uju m!'uru* ,!ri'*a -a' araa' &!r*u(a" "!,!r*i ma'a "ura*

 ,a'((i%a'# ai%:........................................................................&!r*arik :...................................-a'

"a+a aka' m!m&a/a k!'-!raa' "!'-iri &a(i *ujua' ak*ii*i :

......................................................................................................................................................

. Sa+a m!'((u'aka' k!'-!raa'i. J!'i" : ...........................................

ii. N$. L!"!' : ......................................

iii. 2ukai ja%a' : ...................................

3. Ak*ii*i *!r"!&u* -ija%a'ka' ,a-a k!*!*a,a' &!riku*

i. Tarik : .................................

ii. 4a"a : ................................

iii. )!"*i'a"i : ................................................i. "!'arai muri- : S!,!r*i %am,ira' &!"!r*a "ura* k!&!'ara' i&u&a,a

5BERKHI)4AT UNTUK NEGARA6

Sa+a +a'( m!'uru* ,!ri'*a#

 

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