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  • Borang SPMJ

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    ahmad albab
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    This document contains a registration form for candidates taking exams at the Ministry of Health Malaysia Nursing Institution in Kubang Kerian. It requests biodata information including name, IC/passport number, gender, race, religion, marital status, permanent and emergency contact addresses, phone numbers, next of kin information, sponsoring institution, intake session details, disciplinary actions, sick leave details, SPM subject results, and any additional subject credits.

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    Borang SPMJ

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    This document contains a registration form for candidates taking exams at the Ministry of Health Malaysia Nursing Institution in Kubang Kerian. It requests biodata information including name, IC/passport number, gender, race, religion, marital status, permanent and emergency contact addresses, phone numbers, next of kin information, sponsoring institution, intake session details, disciplinary actions, sick leave details, SPM subject results, and any additional subject credits.

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    18 views1 page

    Borang SPMJ

    Uploaded by

    ahmad albab
    This document contains a registration form for candidates taking exams at the Ministry of Health Malaysia Nursing Institution in Kubang Kerian. It requests biodata information including name, IC/passport number, gender, race, religion, marital status, permanent and emergency contact addresses, phone numbers, next of kin information, sponsoring institution, intake session details, disciplinary actions, sick leave details, SPM subject results, and any additional subject credits.

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    INSTITU LATIHAN KEMENTERIAN KESIHATAN MALAYSIA (KEJURURAWATAN) KUBANG KERIAN

    BORANG PENDAFTARAN CALON PEPERIKSAAN LJM/LBM

    BIODATA
    Nama : …………………………………………………………………………………………………………………..
    No. KP/Passport : ……………………………………………………………. Jantina : ………………………………
    Bangsa : ……………………………. Agama : ………………. Taraf Perkahwinan : ………………..
    Alamat Tetap : ………………………………………………………………………………………………….
    Poskod : ……………………………. Bandar : ……………… Negeri : ………………………………
    No. Telefon : …………………………… E-mail : ………………………………
    Nama Waris Terdekat : …………………………………………………………………………………………………………………..
    Alamat Waris : …………………………………………………………………………………………………………………..
    Poskod : …………………………….. Bandar : …………….. Negeri : ……………………………..
    No. Telefon Waris : ……………………………..
    Kolej / Institusi : ILKKM KUBANG KERIAN (KEJURURAWATAN)
    Tajaan : KEMENTERIAN KESIHATAN MALAYSIA
    Sesi Pengambilan : ………………………………
    Tarikh Mula Latihan : …………………………….. Tarikh Tamat Latihan : ………………………………
    Markah (Jumlah Keseluruhan) : ……………………………………………………………….. (Thn……..Sem……..
    Tindakan Tatatertib : Ada Tiada
    Jumlah Cuti Sakit : ………………………………. Jumlah Cuti Sakit Yang Diganti ………………………………
    Catatan : …………………………………………………………………………………………………………………..
    …………………………………………………………………………………………………………………

    KELAYAKAN SPM
    Subjek Keputusan / Gred
    Bahasa Melayu
    Bahasa Inggeris
    Matematik
    Sains
    Biologi
    Kimia
    Fizik

    Mana-mana 3 Subjek Tambahan (Kredit)


    Subjek Keputusan / Gred

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