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DISCIPLINE UNIT
                                       SMKPP16 ( 1 )


             1.   Name :

             2.  Sex :                       3.   Date of Birth :

             4.  Race :                      5.   Religion :

             6.  ID Number :

             7.  Birth Certificate :

             8.  Name of Parents / Guardian :

             9.  Occupation :

             10. Address :



             11. Home Phone :               12.   H/P :



                              The Eternal Beauty Lies On
                              One’s Manners and Knowledge,
                              Not On His/Her Appearance

                                             Hamka
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