borang pencalonan peserta 2014
description
Transcript of borang pencalonan peserta 2014
![Page 1: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/1.jpg)
BAHAGIAN SUKAN
BORANG PERMOHONAN SKIM PELESENAN KEJURULATIHAN KEBANGSAAN
BIL NAMA PENUH NO K/P BARUBANGSA (Tandakan / )
M C I
1 AWI BIN AWANG 640201-11-5513 /
2 ABD HALIM BIN ABD KARIM 691111-10-5311 /
3 AHMAD AZHARI BIN SARMUN 640524-10-6371 /
4 KAMARUZAMAN B CHE JAAFAR 691023-03- 5029 /
5 MAZZAM BIN ABU BAKAR 651104-05-5495 /
6
7
8
9
10
11
12
13
14
15
16
17
18
19
![Page 2: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/2.jpg)
20
21
22
23
![Page 3: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/3.jpg)
BAHAGIAN SUKAN
BORANG PERMOHONAN SKIM PELESENAN KEJURULATIHAN KEBANGSAAN
BANGSA (Tandakan / ) JANTINAALAMAT TEMPAT BERTUGAS
L W MSN MSNg KPM
/ SMK JALAN REKO, KAJANG.SELANGOR GURU /
/ SMK GEDANGSA, 44020 K. KUBU BHARU GURU /
/ SMK SG. BURONG, 45500 TG KARANG GURU /
/ SMK RAJA MUDA MUSA , BESTARI JAYA GURU /
/ SMK RAJA MUDA MUSA , BESTARI JAYA GURU /
PEKERJAAN HAKIKI
JURULATIH (Tandakan / )
LAIN-LAIN
![Page 4: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/4.jpg)
![Page 5: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/5.jpg)
BORANG UKJ/A
BAHAGIAN SUKAN
BORANG PERMOHONAN SKIM PELESENAN KEJURULATIHAN KEBANGSAAN
SUKAN SPESIFIK NO TEL NO TEL /SEK
MASTER SEPAK TAKRAW SATU 019-2340004 03-87372912
BACELOR SEPAK TAKRAW SATU 012-3544250 03-60461340
BACELOR SEPAK TAKRAW SATU 013-3454678
BACELOR SEPAK TAKRAW SATU 013-3889967 03-32719091
BACELOR SEPAK TAKRAW SATU 019-3776045 03-32719091
JURULATIH (Tandakan / ) AKADEMIK
TERTINGGI
TAHAP KELULUSAN
SUKAN SPESIFIKLAIN-
LAIN
![Page 6: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/6.jpg)
![Page 7: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/7.jpg)
BAHAGIAN SUKAN
BORANG PENDAFTARAN PESERTA KURSUS SUKAN SPESIFIK
BIL NAMA PENUH NO K/P BARU
BANGSA (Tandakan / )
M C I
1 MOHD TAUFIQ BIN RAHMAN 880604-07-5205 /
2 ABDULLAH BIN HARON 781104-10-5371 /
3 MOHD.HAZRIN BIN HUSSIN 781126-10-5479 /
4 MOHD NAZARUDIN BIN HASSAN 740516-14-5651 /
5 AHMAD AZHARI BIN SARMUN 640524-10-6371 /
6
7
8
9
10
11
12
13
14
15
16
17
18
19
JPN NEGERI_SELANGOR
![Page 8: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/8.jpg)
20
21
22
23
24
![Page 9: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/9.jpg)
BAHAGIAN SUKAN
BORANG PENDAFTARAN PESERTA KURSUS SUKAN SPESIFIK
BANGSA (Tandakan / ) JANTINA
ALAMAT TEMPAT BERTUGASL W MSN MSNg KPM
/ SMK DATO HARON , TG .KARANG GURU /
/ SK INTEGRASI K SELANGOR GURU /
/ SK SG TERAP TG KARANG GURU /
/ SK RAJA MUSA 45500 TG KARANG GURU /
/ SMK SG. BURONG, 45500 TG KARANG GURU /
JPN NEGERI_SELANGOR
PEKERJAAN HAKIKI
JURULATIH (Tandakan / )
LAIN-LAIN
![Page 10: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/10.jpg)
![Page 11: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/11.jpg)
BORANG UKJ/B
BAHAGIAN SUKAN
BORANG PENDAFTARAN PESERTA KURSUS SUKAN SPESIFIK
SUKAN SPESIFIK
NO TEL
NO TEL /SEK
BACELOR SEPAK TAKRAW TIADA 013-5013951 03-32692769
BACELOR SEPAK TAKRAW TIADA 012-6653768
BACELOR SEPAK TAKRAW TIADA 017-2429665 03-32894626
DIPLOMA SEPAK TAKRAW TIADA 017-2036715 03-32894955
BACELOR SEPAK TAKRAW DUA 013-3454678
JURULATIH (Tandakan / ) AKADEMIK
TERTINGGITAHAP
KELULUSAN SAINS SUKANLAIN-
LAIN
![Page 12: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/12.jpg)
![Page 13: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/13.jpg)
BAHAGIAN SUKAN
BORANG PENDAFTARAN PESERTA KURSUS SAINS SUKAN
BIL NAMA PENUH NO K/P BARUBANGSA (Tandakan / )
M C I
1 ZULKIFLI BIN ISMAIL 710401-10-5791 /
2 MOHD TAUFIQ BIN RAHMAN 880604-07-5205 /
3 ABDULLAH BIN HARON 781104-10-5371 /
4 MOHD.HAZRIN BIN HUSSIN 781126-10-5479 /
5 MOHD NAZARUDIN BIN HASSAN 740516-14-5651 /
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
JPN NEGERI SELANGOR
![Page 14: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/14.jpg)
22
23
24
![Page 15: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/15.jpg)
BAHAGIAN SUKAN
BORANG PENDAFTARAN PESERTA KURSUS SAINS SUKAN
BANGSA (Tandakan / ) JANTINAALAMAT TEMPAT BERTUGAS
L W MSN MSNg KPM
/ SMK P KLN PERMATANG K.SELANGOR GURU /
/ SMK DATO HARON , TG .KARANG GURU /
/ SK INTEGRASI K SELANGOR GURU /
/ SK SG TERAP TG KARANG GURU /
/ SK RAJA MUSA 45500 TG KARANG GURU /
JPN NEGERI SELANGOR
PEKERJAAN HAKIKI
JURULATIH (Tandakan / )
LAIN-LAIN
![Page 16: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/16.jpg)
![Page 17: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/17.jpg)
BORANG UKJ/C
BAHAGIAN SUKAN
BORANG PENDAFTARAN PESERTA KURSUS SAINS SUKAN
SUKAN SPESIFIK NO TEL NO TEL /SEK
BACELOR SEPAK TAKRAW SATU 013-3453944 03-32893611
BACELOR SEPAK TAKRAW TIADA 013-5013951 03-32692769
BACELOR SEPAK TAKRAW TIADA 012-6653768
BACELOR SEPAK TAKRAW TIADA 017-2429665 03-32894626
DIPLOMA SEPAK TAKRAW TIADA 017-2036715 03-32894955
JURULATIH (Tandakan / ) AKADEMIK
TERTINGGI
TAHAP KELULUSAN
SUKAN SPESIFIKLAIN-
LAIN
![Page 18: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/18.jpg)
![Page 19: borang pencalonan peserta 2014](https://reader036.fdokumen.site/reader036/viewer/2022082402/55cf97e9550346d033945c78/html5/thumbnails/19.jpg)
BORANG UKJ/A