LAPORAN AKTIVITI KOKURIKULUM

MINGGU KE- ___________

Nama Pelajar

: ____________________________________ No K/P :___________________

Program Pelajar

: ______________________________ Ambilan : ______________________

Pengkhususan/Major

: ______________________________ Minor

Tempoh Praktikum

:____________________ hingga _________________________ ( ___ minggu)

Nama Sekolah

: ______________________________________________________________

: ______________________

Jenis Persatuan/Sukan/Unit Beruniform :__________________________________________________

Tarikh : __________________

Masa : __________________

Kehadiran

: _______ / _______

Tempat : ___________________________________________________________________________
Nama Guru Penasihat: _________________________________________________________________
Aktiviti/Kemahiran yang dijalankan :
(kepimpinan, kepengurusan, kejurulatihan dan kepegawaian):

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Refleksi :
(Guru pelatih)

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Bimbingan / Komen :
(Guru Penasihat/Pensyarah Penyelia/Guru Pembimbing)

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T. Tangan Pelajar

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T.Tangan Pensyarah Penyelia / Guru Pembimbing