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    Borang Khatan KRT DN Surau

    Uploaded by

    Sudirman Saad

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Borang Khatan KRT DN Surau

    Uploaded by

    Sudirman Saad
    160 views1 page

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    BORANG KHATAN KRT DN SURAU.docx

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    160 views1 page

    Borang Khatan KRT DN Surau

    Uploaded by

    Sudirman Saad

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    BORANG PENDAFTARAN KHATAN PERDANA 2019

    ANJURAN BERSAMA KRT & SURAU AL-FAIZIN


    TAMAN SERAI PERMAI
    012 5125265( SILAHJ.HUBUNGI:
    TN. MOHD NAIM
    012
    0124296697 ( TN.HJ.
    5680204 ( TN. HJ.MOHD NASIRB.B.
    SIRRAJUDIN
    ABDULLAH)
    BIN AHMAD)
    GHANI )

    NAMA PESERTA :____________________________________________

    NAMA PENJAGA : ___________________________________________

    NO,.KP/NO. MYKID PESERTA


    :____________________________________________
    (sila sertakan satu salinan)

    TARIKH LAHIR PESERTA : ___________________________________________

    UMUR : ___________________________________________

    ALAMAT :
    ___________________________________________

    ___________________________________________

    ___________________________________________

    NO. TEL PENJAGA : ___________________________________________

    BERAT PESERTA : ________________ TINGGI : _____________

    ALAHAN PENYAKIT KRONIK : ___________________________________________


    (sila nyatakan jika ada)

    SAYA _____________________________________________IBU BAPA/PENJAGA


    MENYATAKAN MAKLUMAT YANG DIBERI ADAKAH BENAR.BERSAMA INI DISERTAKAN YURAN
    PENYERTAAN SEBANYAK RM100UNTUK PROGRAM KHATAN PERDANA 2019.YURAN PENERTAAN
    TIDAK AKAN DIKEMBALIKAN.

    TANDATANGAN IBU BAPA/PENJAGA TARIKH : __________________


    UNTUK KEGUNAAN PEJABAT
    YURAN PENYERTAN RM100.00 JELAS ( )
    (SERATUS SAHAJA) BELUM ( )
    DILULUSKAN/TIDAK DILULUSKAN NO. RESIT : _____________

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