Badminton 2

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BORANG PENDAFTARAN PASUKAN MSSM PERMAINAN/ SUKAN

: KRIKET

NEGERI

: SELANGOR/ PETALING PERDANA

JANTINA

: LELAKI

Bil 1 2 3 4 5 6

Nama Pegawai RIZALMAN BIN JOHAR AZMIN BIN ENDAN

Bil 1 2

Nama Pemain MUHAMMAD IZZAT SYAHMI MUHAMMAD YUSRI

R02

KUMPULAN UMUR

: 12 TAHUN

Jawatan PENGURUS JURULATIH

No. KP BG 14753 BG 85734

Sekolah SK BANDAR MAS SK BANDAR MAS

Sekolah SK BANDAR MAS SK BANDAR MAS

Mengesahkan bahawa segala maklumat yang dinyatakan di atas adalah benar seperti dalam borang R01.

Pengurus Pasukan Nama : No. KP : Tarikh :

Setiausaha Agung MSSM Negeri / Ketua Unit Sukan Cop Rasmi:

Tarikh :

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