Borang Persetujuan.docx

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SATHIYA SAI BABA CENTRE, GELUGOR, PENANG.

BORANG PERSETUJUAN PEMERIKSAAN KESIHATAN MURID

Saya

______________________________________

*BERSETUJU

/

TIDAK

BERSETUJU supaya anak / anak jagaan saya ______________________________ diberi pemeriksaan dan rawatan selama anak/anak jagaan saya menghadiri sekolah.

Tandatangan Ibu/Bapa/Penjaga

: _______________________

Nama Ibu/Bapa/Penjaga

: _______________________

No.Kad Pengenalan

: _______________________

Tarikh

: _______________________

*potong mana-mana yang tidak berkaitan.

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