Daftar PTBC RENDAH 2011 .pdf

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Original filename: Daftar PTBC RENDAH 2011.pdf
Title: Daftar pusat tuisyen beseri RENDAH 2011.xls
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RA 0010553-P

PUSAT TUISYEN BESERI CEMERLANG
NO. 25 DAN NO. 26,TAMAN BAAHAGIA,BALAI BARU,02400 BESERI, PERLIS.
TEL: 012-5566436 / 04-9381295
DARJAH/TAHUN: _____________

Maklumat Pemohon
Nama

:

Mengikut kad pengenalan

:

Nama Sekolah

:
:

Nama Ibubapa / Penjaga

:
:

Alamat Rumah

:
:

Poskod

:

No. Tel Rumah

:

-

No. Tel Pejabat

:

-

No. H/ Phone

:

T.Tangan Pelajar / Ibubapa :

:

Tarikh :

Untuk Kegunaan Pejabat Shj.
Yuran Pendaftaran

RM

Yuran Bulanan

RM

T.Tangan Dan Nama Pengurus

Negeri


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