Borang Pencalonan
Borang Pencalonan
Borang Pencalonan
BORANG PENCALONAN
KEMASUKAN KE PROGRAM PEMULIHAN KHAS
SESI (20....)
1.
Nama Sekolah
...........................................................................
2.
Nama Murid
...........................................................................
3.
Kelas
...........................................................................
4.
Umur
...........................................................................
5.
Jantina
...........................................................................
6.
Jumlah Kedatangan :
...........................................................................
7.
Markah pelepasan II
(Nyatakan skornya)
Konstruk
(Nyatakan konstruk)
Nyatakan:............................
......................................................................................................................
......................................................................................................................
Nyatakan:.............................
...........................................
Tanda Tangan Guru Kelas:
Tarikh
: ..............................
GARIS PANDUAN PROGRAM PEMULIHAN KHAS UNIT PEMULIHAN KHAS, BPKHAS, KPM
20