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LAMPIRAN A
BORANG CADANGAN PELANTIKAN AHLI JKKK
1. Bahagian : KUCHING
2. Daerah : PETRA JAYA
3. Daerah Kecil :
!. Na"a #a"$%ng : TA&AN HA'II( JAYA
). Ja*a+an ,ala" JKKK : NAIB BENDAHARI
-. &a#l%"a+ Peria,i Cal/n :
-.1. Na"a : &0HA&AD YA'ID BIN AH&AD
-.2. N/.Ka, Pengenalan : 3)2)!3)
-.3. Tari#h 4ahir : 3 JU4AI 15
-.!. Pe#er6aan : GURU
-.). Te"$a+ Ker6a : 7K 7UNGAI 7TUT0NG
-.-. Kel%l%8an 9 A#a,e"i# : 7ARJANA &UDA PENDIDIKAN BAHA7A ARAB;
-.. Tara< Per#ah*inan : KAH=IN
-. 4a"a Ber"a8+a%+in : 21!
. Per#hi,"a+an Ke$a,a &a8>ara#a+ : 6i#a a,a ;
.1. ?................................................................................................
.2. ?................................................................................................
.3 ?................................................................................................
. Pinga+ 9 7i6il7i6il Yang Di$er/lehi:
?...............................................................................................
5. Pera#%an Ke+%a #a%" Ti". Penger%8i 9 Pen.7e+ia%8aha 9 Pen.Ben,ahari 9 Ahli JKKK
?..............................................................................................
?............................................................... Tan,a+angan Ke+%a &a8>ara#a+ ,an C/$
1. Kel%l%8an Pega*ai Daerah Penger%8i 9 7e+ia%8aha 9 Ben,ahari
?.............................................................................................
?................................................................Tan,a+angan Pega*ai Daerah Dan C/$
11. Kel%l%8an Re8i,en Bagi Ja*a+an Penger%8i ,an 7e+ia%8aha ;
?...........................................................................
?..............................................
Tan,a+angan Re8i,en ,an C/$
@ Lampiran ini mesti Berserta Dengan salinan Kad Pengenalan *
LAMPIRAN A
BORANG CADANGAN PELANTIKAN AHLI JKKK
1. Bahagian : KUCHING
2. Daerah : PETRA JAYA
3. Daerah Kecil :
!. Na"a #a"$%ng : TA&AN HA'II( JAYA
). Ja*a+an ,ala" JKKK : PENGERU7I
-. &a#l%"a+ Peria,i Cal/n :
-.1. Na"a : AH&AD BIN 7AUTI
-.2. N/.Ka, Pengenalan : -!11313)335
-.3. Tari#h 4ahir : 3 N0E&BER 15-!
-.!. Pe#er6aan : GURU
-.). Te"$a+ Ker6a : 7K &ATU BARU KUCHING
-.-. Kel%l%8an 9 A#a,e"i# : 7ARJANA &UDA PENDIDIKAN PENGAJIAN &E4AYU;
-.. Tara< Per#ah*inan : KAH=IN
-. 4a"a Ber"a8+a%+in : 21!
. Per#hi,"a+an Ke$a,a &a8>ara#a+ : 6i#a a,a ;
.1. ?................................................................................................
.2. ?................................................................................................
.3 ?................................................................................................
. Pinga+ 9 7i6il7i6il Yang Di$er/lehi:
?...............................................................................................
5. Pera#%an Ke+%a #a%" Ti". Penger%8i 9 Pen.7e+ia%8aha 9 Pen.Ben,ahari 9 Ahli JKKK
?..............................................................................................
?............................................................... Tan,a+angan Ke+%a &a8>ara#a+ ,an C/$
1. Kel%l%8an Pega*ai Daerah Penger%8i 9 7e+ia%8aha 9 Ben,ahari
?.............................................................................................
?................................................................Tan,a+angan Pega*ai Daerah Dan C/$
11. Kel%l%8an Re8i,en Bagi Ja*a+an Penger%8i ,an 7e+ia%8aha ;
?...........................................................................
?..............................................
Tan,a+angan Re8i,en ,an C/$
@ Lampiran ini mesti Berserta Dengan salinan Kad Pengenalan *
