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Gambar Ukuran Passport

PERSATUAN PENYELIA ASRAMA PENDIDIKAN NEGERI SEMBILAN d/a Sek. Men. Keb. Agama Sheikh Haji Mohd Said, 70400 Seremban. Negeri Sembilan. No. Pendaftaran : 133. Setiausaha , Persatuan Penyelia Asrama Pendidikan Negeri Sembilan, d/a Pejabat Asrama Kolej Vokasional Dato ’ Lela Maharaja,

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Gambar Ukuran Passport

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  1. PERSATUAN PENYELIA ASRAMA PENDIDIKAN NEGERI SEMBILAN d/a Sek. Men. Keb. Agama Sheikh Haji Mohd Said, 70400 Seremban. Negeri Sembilan. No. Pendaftaran : 133 • Setiausaha, • PersatuanPenyeliaAsramaPendidikanNegeri Sembilan, • d/a PejabatAsrama • KolejVokasionalDato’ Lela Maharaja, • 71300 Rembau. Negeri Sembilan. • Tuan, • Denganinisayasertakanmaklumatterkinidirisayauntukmaklumandanbagitujuanpenyimpananrekodperibadiahli-ahliPersatuanPenyeliaAsramaPendidikanNegeri Sembilan. • NAMA PENUH : ____________________________________________________________________________ • NO. K.P : __________________________________ UMUR : ___________ T/LAHIR : ______________ • JAWATAN : __________________________________ TARAF : __________________________________ • ALAMAT TEMPAT BERTUGAS : _______________________________________________________________ • ___________________________________________________________________________________________ • TEL PEJABAT SEKOLAH : _______________________ FAX : _______________________ • TEL. PEJABAT ASRAMA : _______________________ FAX : _______________________ • ALAMAT RUMAH : ___________________________________________________________________________ • ___________________________________________________________________________________________ • TEL. RUMAH : ____________________________ TEL BIMBIT : _____________________ • E-MAIL : _________________________________ • Sayadenganinimengakubahawasegalamaklumat yang diberikanadalahbenardantindakanbolehdiambilkeatassayasekiranyamaklumatinididapatipalsu. . • TandatanganPenyelia, • ………………………………………… • NamaPenuh : _________________________ • Tarikh : ________________ • UntukKegunaanPejabatPersatuan • Boranginiditerimapada : ________________ • No AhliPersatuan : ___________ No AhliKesatuan : _____________ TandatanganSetiausaha Gambar Ukuran Passport

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