Borang Laporan Klien

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KOD PELAJAR:

MAKLUMAT KLIEN

Nama : .............................................................................................. Tingkatan : ................. / Tahun : ........................


Jantina : O Lelaki O Perempuan
Agama : O Islam O Buddha O Hindu O Kristian O Lain-lain
Keturunan : O Melayu O Cina O India O Lain-lain
Alamat : .........................................................................................................................................................................
........................................................................................................... No.Telefon Ibu bapa : ……………......................
Pekerjaan Bapa : ............................................... Pendapatan : …….…………
Pekerjaan Ibu : …………………………........... Pendapatan : …….…..........
Bil. Adik-beradik : …… Kedudukan : ……..
Hubungan Keluarga :
O Ibu bapa tinggal bersama O Tinggal Berasingan O Bercerai hidup
O Bercerai mati

Maklumat Akademik :
TARGET PENCAPAIAN
UPSR
PMR
SPM

Maklumat Kerjaya :
Cita-cita : .........................................., Ingin Lanjut Pelajaran Ke ........................................................ Tahun : ............

LAPORAN DAN ULASAN GURU KAUNSELING :

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Nama Guru Kaunseling: ..........................................................

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