FORM 2 : CAS EXPERIENCE/PROJECT PROPOSAL FORM

Student Data
Name : Syeda Qadar Zulfiqar
Title and Date of Project : Book Club
The Date of Proposal Uploaded to Managebac : 17 July 2020

Supervisor Data (Non Family Member)

Name/Position : Novi Junaidi Igayana - Teacher
Email/Phone Number : novi_j@sekolahbogorraya.com
I have read the letter to the supervisor and agreed to supervise the above student.

Signature and Date : _______________________________________________

Parents’ Approval
I am the parent/Guardian of Syeda Qadar Zulfiqar Grade 12 DP-A , and I agree to my child doing the
designated activity above and being supervised by the above signatory.

Name and Signature of Parent/Guardian : Siti Rohani

Date : 24/08/2020
 CAS Advisor Approval
Name/Position : Sierah Jota - CAS Advisor & Teacher
Email/Phone Number : sierah_j@sekolahbogorraya.com
I have read the proposal uploaded on managebac and approve the CAS experience/project.

Signature and Date : _______________________________________________

CAS Coordinator Approval

Signature of CAS Coordinator/date : ________________________________________________