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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
Daftar PTBC RENDAH 2011.pdf (PDF, 33.11 KB)
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