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Lampiran 5
BORANG PERNYATAAN USUL
Setiausaha
Persatuan Ibu Bapa-Guru
Sekolah .............................................................................................................................
...........................................................................................................................................
Tuan,
Bahawa Mesyuarat Agung PIBG Sekolah .........................................................................
.......................................... yang bersidang pada ...........................mengambil ketetapan
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Sekian. Terima Kasih.
Yang benar,
....................................................................
( )
Nama pembawa usul : ........................................................................................................
Alamat rumah : ...................................................................................................................
............................................................................................................................................
Nama anak di sekolah ini : .................................................................................................
Tahap/Tingkatan anak sekarang : ......................................................................................
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