SEKOLAH MENENGAH KEBANGSAAN SERI TITIWANGSA (SSNWP)

JALAN TEMERLOH,53200 KUALA LUMPUR.

Tel.:03-40214882/fax:04-40242504

SIJIL BERHENTI SEKOLAH

SCHOOL LEAVING CERTIFICATE

Nama murid AKMAL FARHAN BIN ZULKAFLI

Name of pupil
Nama bapa/penjaga ZULKAFLI BINTI YUSOF
Name of father/guardian
Bil.daftar masuk sekolah 029/17 No.kad pengenalan 011031141345
School Admission Number Identity Card No.
Tarikh lahir 31.10.2001 Tempat KUALA LUMPUR No Sijil Beranak AX 7313
Date of Birth Place Birth Certificate No.
Tarikh masuk sekolah 2.2.2017 Darjah dimasuki TINGKATAN 4
Date of admission Standard to which admitted
Nama sekolah yang lepas (jika ada) SMK ST. GABRIEL
Name of former school (if any)
Tarikh meninggalkan sekolah sekarang 23 NOVEMBER 2018
Date of leaving present school
Sebab berhenti TAMAT TINGKATAN LIMA
Reason of leaving
Darjah/tingkatan tertinggi (dengan perkataan) TINGKATAN LIMA
Highest Standard/form passed (in words)
Darjah/tingkatan berapa masa berhenti TINGKATAN LIMA
In what standard/form at time leaving (in words)
Bil.kuasa biasiswa (dengan kategori) TIADA
Scholarship (with category)
Yuran yang belum dijelaskan RM TIADA Kedatangan dalam tahun persekolahan 174/195
Fees due Attendance during school year
Sukan SILAT
Games and Athletics
Persatuan/Kelab STEM
Societies/Clubs
Kelakuan BAIK
Conduct
Catatan
Remarks

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Tandatangan murid Pengetua
Pupil’s Singnature
Tarikh/date :