Pk03-2 Borang Maklum Balas Dapatan Pemantauan
2
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): ______________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________ T+NDAKAN PEMBETULAN a) Punca ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ b) Tindakan Bagi Selesai Punca ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Sila gunakan lampiran !ika ruangan tidak mencukupi Tandatangan" #ap Lokasi $$$$$$$$$$$$ Tarikh : $$$$$$$$$% &ak #ipta Terpelihara ' Bahagian Pengurusan Sekolah &arian 1 ebruari *1+ , -eluaran *./ Pindaan **
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Transcript of Pk03-2 Borang Maklum Balas Dapatan Pemantauan
PK03 - 2
BORANG MAKLUM BALAS DAPATAN PEMANTAUAN(Diisi oleh lokasi dan di e!ikan ke"ada "e#an$a% e!sa#a o!an& PK03-' dala# $e#"oh
' ha!i eke!)a*
Nama Lokasi :
Tarikh Pemantauan :
Bil MAKLUM BALAS
1 Isu dikenalpasti (#e!%)%k ke"ada da"a$an "e#an$a%an):
______________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________
T+NDAKAN PEMBETULANa) Punca ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
b) Tindakan Bagi Selesai Punca ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
Sila gunakan lampiran !ika ruangan tidak mencukupi
Tandatangan" #ap Lokasi
$$$$$$$$$$$$Tarikh : $$$$$$$$$%
&ak #ipta Terpelihara ' Bahagian Pengurusan Sekolah &arian1 ebruari *1+ , -eluaran *./ Pindaan **
