8/17/2019 BORANG MAKLUM BALAS DAPATAN PEMANTAUAN PK03-2.docx

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PK03 - 2

BORANG MAKLUM BALAS DAPATAN PEMANTAUAN(Diisi oleh lokasi dan die!ikan ke"ada "e#an$a% e!sa#a o!an& PK03-' dala# $e#"oh

' ha!i eke!)a*

Nama Lokasi :

Tarikh Pemantauan :

Bil

MAKLUM BALAS

1 Isu dikenalpasti (#e!%)%k ke"ada da"a$an "e#an$a%an):

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T+NDAKAN PEMBETULANa) Punca

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b) Tindakan Bagi Selesai Punca

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Sila gunakan lampiran !ika ruangan tidak mencukupi

Tandatangan" #ap Lokasi

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Tarikh : $$$$$$$$$%

&ak #ipta Terpelihara ' Bahagian Pengurusan Sekolah &arian1 ebruari *1+ , -eluaran *. Pindaan **