IPG KAMPUS TENGKU AMPUAN AFZAN,KUALA LIPIS

LAPORAN AKTIVITI / PROGRAM KOKURIKULUM

Minggu Ke-

Nama Pelajar

Jenis Aktiviti / Program

Tarikh

Masa

Tempat

Nama Guru Pembimbing / Penasihat

Kehadiran (Lampirkan Borang Kehadiran)

:..............................................................................

:.............................................................................

:............................................................................

:............................................................................

:............................................................................

:............................................................................

:............................................................................

BAHAGIAN A : AKTIVITI / PROGRAM YANG DIJALANKAN

[Sila lampirkan dokumen sokongan, jika ada]

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

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

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

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

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

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

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

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

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

BAHAGIAN B : CATATAN REFLEKSI

(Diisi oleh Pelajar)

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

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

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

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

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

IPG KAMPUS TENGKU AMPUAN AFZAN,KUALA LIPIS

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

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

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

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

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

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

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

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

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

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

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

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

BAHAGIAN C : BIMBINGAN

(Oleh Guru Penasihat / Guru Pembimbing )

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

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

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

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

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

Disemak oleh Guru Pembimbing/Penasihat Tandatangan :

Nama :

Tarikh :

Disahkan oleh Guru Besar Tandatangan :

Nama :

Tarikh

:

IPG KAMPUS TENGKU AMPUAN AFZAN,KUALA LIPIS