SEKOLAH KEBANGSAAN MOHD SHAH (PBA2006) TRANSFORMASI

SEKOLAH TS2.5 (1.0)

KAMPUNG BAHARU, 13300 TASEK GELUGOR, SPU,

PULAU PINANG.
Tel / Faks : 04-573 1518 E-mail : pba2006@jpnpp.edu.my

Nama Ibu/ Bapa/ Penjaga:________________________________________________________________

Nama Anak/ Pelajar : ________________________________________Tingkatan :______________

Tarikh Perbincangan :__________________________

Jenis Perbincangan : ADUAN / JEMPUTAN KE SEKOLAH

Perkara yang dibincangkan:

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Jenis tindakan yang diambil :

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STATUS KES : SELESAI / DALAM PERTIMBANGAN / BAWA KEHADAPAN

CATATAN :

TANDATANGAN GURU: TANDATANGAN IBU BAPA/PENJAGA:

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NAMA: NAMA:
NO.K/P: NO. K/P: