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KELAB PENCEGAHAN JENAYAH

SMK (P) TRECHER METHODIST TPG

NO.5 JALAN MUZIUM, 34000 TAIPING

PERAK DARUL RIDZUAN

MAKLUMAT AHLI : NO. AHLI : .........................

Nama Ahli : ................................................................................................................................

(Nama Penuh Seperti Dalam K.P)

No. Kad Pengenalan : ............................................................. Jantina : ...................................

Tarikh Lahir : .................................................. Tempat Lahir : ...................................................

Agama :........................................................... Bangsa : ...........................................................

Alamat : ......................................................................................................................................

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

MAKLUMAT IBU BAPA / PENJAGA :

Nama Bapa : ..............................................................................................................................

Pekerjaan : ...................................................... No. Kad Pengenalan : .....................................

No Telefon : (R) : ....................................................... (P) : ........................................................

(HP) : ......................................................

Nama Ibu : ..............................................................................................................................

Pekerjaan : ...................................................... No. Kad Pengenalan : .....................................

No Telefon : (R) : ....................................................... (P) : ........................................................

(HP) : ......................................................

LEKATKAN

GAMBAR

BERUKURANPASPORT

8/3/2019 Contoh 11 Borang Keahlian

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Nama Penjaga : .........................................................................................................................

Pekerjaan : ...................................................... No. Kad Pengenalan : .....................................

No Telefon : (R) : ....................................................... (P) : ........................................................

(HP) : ......................................................

PERAKUAN AHLI :

Saya ..................................................................................................(Nama seperti dalam KP)

Tingkatan / Tahun ......................................................................................................................berjanji akan menjadi ahli yang sentiasa mematuhi peraturan dan perlembagaan kelab,

peraturan sekolah dan sentiasa menjaga nama baik kelab dan sekolah di samping mencuba

sedaya upaya mengharumkan serta memartabatkan nama baik kelab dan sekolah ini.

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

(Tandatangan Ahli) (Tarikh)

( NAMA AHLI : )

Disediakan oleh,

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

(KAMIRUN BIN MUSTAPA KAMAL) (Tarikh)

Ketua Guru Penasihat,

Kelab Pencegahan Jenayah (KPJ)

SMK (P) Treacher Methodist Taiping