PROGRAM

PERKHEMAHAN
PERDANA 2023
SMK USJ 23

m-10704649@moe-dl.edu.my
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Sila isikan nama dan butir- butir

peribadi yang diperlukan untuk
permohonan I-STAPP JPN.
Tempat : Kem Taman Botani Shah Alam
Tarikh : 24-25 Nov 2023 (Jumaat- Sabtu -
2H1M)
Yuran : RM150
Penyelaras Perkhemahan : Pn RaJdah binti
Zahari

Nama *

NUR ANEESA BINTI AIZAM

Kelas *

2 UTARID

No IC (tiada sempang) *

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Alamat rumah lengkap *

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No telefon Ibu *

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No telefon Bapa *

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No telefon Pelajar *

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Saiz T-shirt * (jika ada tempahan)

XL

XXL

Terima kasih atas kerjasama anda.

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