| Nama/Name |
: |
|
| No.Surat beranak/Birth Cerificate No |
: |
|
|
Tarikh
Lahir/Birth Date |
: |
|
| Jantina/Gender
|
: |
Lelaki/Male Perempuan/Female
|
|
Nama bapa
/ Father's name |
|
|
|
Nama ibu
/ Mother's name |
|
|
|
Kelas/ Class |
: |
1 Cempaka
1 Raya
2 Cempaka
2 Raya
3 Cempaka
3 Raya
4 cempaka
4 Raya
5 Cempaka
5 Raya
6 Cempaka
6 Raya |
| Keturunan/Race |
: |
|
| Agama/Religion |
: |
|
| Alamat/Address
|
: |
|
| No.Telefon/Contact
No. |
: |
Rumah/House
Tel.Bimbit/Hp
|
| Email |
: |
|
|
Rumah Sukan/Sport House
|
: |
|
| Acara sukan padang yang disertai tahun ini
Field sport event participated this year |
: |
Acara
Event
|
Keputusan
Result
|
| Acara sukan dalam yang disertai tahun ini
Indoor sport event participated this year
|
: |
Acara
Event
|
Keputusan
Result
|
|
Keputusan peperiksaan /exam
result |
|
Akhir
Tahun Lepas
Last year final
|
Penggal 1 2007
Midterm 2007
|
Akhir Tahun 2007
Final
|
|
Aktiviti Ko Kurikulum /Co
curriculum activity |
|
|
| |
: |
|
| |
: |
|
|
Wakil sekolah
dalam/Represented school
in
|
: |
|
|
Wakil daerah dalam/Represented
district in |
: |
|
|
Wakil zone dalam/Represented
zone in
|
|
|
|
Wakil zon dalam/Represented
zon in
|
|
|
| Mewakili Negeri dalam/Represented State
in
|
: |
|
| Kemahiran Berbahasa/Language
Proficiency |
: |
|
| Kemudahan komputer di rumah/Access to computer at home |
: |
Ya/Yes
Tidak/No |
| Kemudahan internet di rumah/Access to internet at home |
: |
Ya/Yes
Tidak/No |
| Maklumat Lain Yang
Anda Ingin Berkongsi Bersama Kami?/Any other
information you would like to share with us? |
: |
|