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SULIT LAMPIRAN 'A'

LAPORAN MENG EN AI KES-KES PENY ALAHGUNAAN DADAH DI KALANGAN

MURID-MURID SEKOLAH MENENGAH BANTUAN PENUH KERAJAAN

NAMA DAN ALAMAT SEKOLAH: .. LAPORAN PENGGAL I (1/1 - 30/4)

II (1/5 - 31/8)
III (1/9 - 31/12)

NEGERI: .

KETURUNAN

I.O BIL. NO. KAD Melayu Cina India Lain-lain TINGKATAN UMUR JENIS CATATAN
l,;J
- PENG EN ALAN DAD AH
L p L p L p L p

Tanda (-') dalam kotak berkenaan. (Nama & Tandatangan Guru Besar)
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'
MURID-MURID DALAM KEADAAN RISIKO PENYALAHGUNAAN DADAH
YANG MEMERLUKAN PERTOLONGAN

NAMA & ALAMAT SEKOLAH: : LAPORAN PENGGAL I (1/1-30/4/19 .. )

II (1/5 - 31/8/19 .. )
III (1/9- 31/12/19 .. )
Jantina Keturunan Tindakan
Selan jut
Ting- Keadaan Tindakan yang Rujukan yang yang di-
Bil. Nama Murid katan Umur L p M c I risiko telah diambil telah dibuat perlukan

NOTA Laporan Penggal I hendaklah dihantar sebelum 14hb. Mei

Laporan Penggal II hendaklah dihantar sebelum lOhb. September
Laporan Penggal III hendaklah dihantar sebelum 14hb. Januari ............................ ..............................
@ Potong mana-mana yang lidak dlkehendaki. (Tandatangan Guru Besar)
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Panduan Bentuk Pakaian Seragam
(Kain Sarung) ·

(Dipakai dengan Baju Kurung Berkekek atau Baju Kurung Pesak Gantung)

Ikatan Pinggang Cangkuk dengan palang

Butang katup di hujung

Belah berzip

Lisu pemadan

N 7 Lisu tersusun
~
- ~~~5=

PANDANGAN HADAPAN PANDANGAN BELAKANG

•
 Panduan Bentuk Pakaian Seragam
(Baju Kurung Moden)
Cecincin Butang putih ukuran Lapik 3.5 sm
garis pusal I sm

Labuh baju 15 sm
atas paras lutut BELAKANG
HADAPAN

Panduan Bentuk Pakaian Seragam

(Pakai dengan Baju Kurung Moden)

Cangkuk dengan palang Ikatan Pinggang

Butang katup di hujung

Lisu Pemadan

- -- - -
BELAKANG HADAPAN

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Pegawai-pegawai Kebajikan Masyarakat yang Menjalankan
Tugas sebagai Pegawai Kebajikan Sekolah

Negeri Nama Pegawai Jabatan

Perl is En. Mohamad b. Abdullah Jabatan Kebajikan Masyarakat, Kangar, Perlis.

i
Kedah Pn. Azizan bt. Ahmad Jabatan Kebajikan Masyarakat, Alor Setar.
Pn. Mahani bt. Sudin Jabatan Kebajikan Masyarakat, Yan, Kedah.

Pulau Pinang En. Wan Mokhtar b. Ramli Jabatan Kebajikan Masyarakat Daerah,
Timur Laut, Pulau Pinang.
En. lnau s/o Edin Jabatan Kebajikan Masyarakat, Butterworth.
N Jabatan Kebajikan Masyarakat, Bukit Mertajam.
00 Pn. Parimala Devi
0
Perak Raja Nordin b. Raja Zainal Abidin Jabatan Kebajikan Masyarakat, Teluk Intan.
Pn. Doyah bt. Abdul Wahab Jabatan Kebajikan Masyarakat, Daerah Manjung.
En. Shoib b. Tohir Jabatan Kebajikan Masyarakat, Taiping.
En. Johari b. Saad Jabatan Kebajikan Masyarakat, Daerah, Kinta, Ipoh.

Selangor Pn. Rahmah bt. Ismail Jabatan Kebajikan Masyarakat, Kelang.

Puan Jamaiyah bt. Abdul Ghani Jabatan Kebajikan Masyarakat, Daerah, Petaling.
En. Meor Abdul Ghani b. Daud Jabatan Kebajikan Masyarakat, Kajang.

Wilayah Persekutuan En. Mohd. Nizam b. Abdullah Jabatan Kebajikan Masyarakat, Wilayah Persekutuan.
Pn. Nazali bt. Yusof - sama -
Cik Fauziah bt. Abdul Rahman - sama -

---------

Negeri Nama Pegawai Jabatan

Negeri Sembilan En.Zainuddin b. Kadir
Pn. Zainun bt. Ghazali
Cik Azizah bt. Alias
Melaka Cik Zubaidah bt. Ahmad
Cik Rahmah bt. Tasrip
Cik Sanaah bt. Abas
Joh or Sheikh Hanafiah b. Sheikh Hassan
Cik Jaleiha bt. Dahlan
N Cik Grace Naesarajoo
00
Pahang En. Sit Bin Ching
En. Md. Joned b. Hassan Helmi
Cik Faridah bt. Abdul Rahman ,
Terengganu Puan Choo Phaik Yoong
En. Meor Ariff b. Johan
Kelantan En. Abdul Rashid b. Hj. Salleh
En. Jasni b. Hj. Jaafar
Pn. Zaitun bt. Abdullah
Cik Chuinch Fit Chew
Jabatan Kebajikan Masyarakat, Seremban, Negeri Sembilan.
Jabatan Kebajikan Masyarakat, Kuala Pilah.
Jabatan Kebajikan Masyarakat, Jelebu.
Jabatan Kebajikan Masyarakat Daerah, Jasin.
Jabatan Kebajikan Masyarakat, Melaka Tengah.
Jabatan Kebajikan Masyarakat, Ator Gajah.
Jabatan Kebajikan Masyarakat, Batu Pahat.
Jabatan Kebajikan Masyarakat, Segamat.
Jabatan Kebajikan Masyarakat, Johor Bahm.
Jabatan Kebajikan Masyarakat, Cameron Highlands.
Jabatan Kebajikan Masyarakat, Temerloh.
Jabatan Kebajikan Masyarakat, Kuantan.
Jabatan Kebajikan Masyarakat, Kuala Terengganu.
Jabatan Kebajikan Masyarakat, Kuala Terengganu.
Jabatan Kebajikan Masyarakat, Kota Bharu.
Jabatan Kebajikan MasyarakatvTumpat,
Jabatan Kebajikan Masyarakat, Tumpat.
Jabatan Kebajikan Masyarakat, Pasir Mas.

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