Lampiran 2a Borang Maklumat Guru Panitia

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PENGURUSAN PANITIA

LAMPIRAN 2A

LETTERHEAD SEKOLAH MAKLUMAT GURU PANITIA

2009 1. Nama Guru :………………………………………..…………..… 2. No. JPK:………………… 3. No. Kad Pengenalan :……………………………

4. No.Tel : ( R )…………………….. ( H/P ) ……………………………

5. Alamat :……………………………………………………………………………………….……. ……………………………………………………………………………….…………………….. 6.

Gred Jawatan :

…………………………………………….

7.

Kelayakan Akademik :

8.

Kelayakan Iktisas : ………………………………………..

9.

Nama Institusi Menerima Latihan : ……………………………………………………....

10.

Pengkhususan : (i)………………………….………

……………………………...........

(ii) …………………………………

…… 11.

Tarikh mula berkhidmat : ………………………........

12.

Mula berkhidmat di sekolah semasa : …………………….

13.

Pengalaman mengajar : ……………………………….

14. Tingkatan : ………………………………………15. Guru Tingkatan: ………………. 16. Mata pelajaran yang diajar : i)

……………………………………………….

ii)

……………………………………………….

iii)

……………………………………………….

17. Jumlah waktu seminggu :………………………........... 18. Pengalaman yang ada. a) Mengajar subjek

b)Tingkatan

c) Tahun

i) ………………………………………. i) …………………… i) ..…………………… ii) …………………………………….... ii)……………………. ii) ..…………………… iii)……………………………………… iii)……………………. iii).……………………. 19. Pengalaman dalam persatuan. i) ……………………………………………………………………………………………

1

PENGURUSAN PANITIA

LAMPIRAN 2A

ii) …………………………………………………………………………………………... iii)…………………………………………………………………………………………... iv)…………………………………………………………………………………………... v) …………………………………………………………………………………………... vi)…………………………………………………………………………………………... 20. Pengalaman menjadi Ketua Panitia:…………………………………………………… 21. Kursus yang pernah dihadiri dan bersijil: i) …………………………………………………………………………………………… ii) …………………………………………………………………………………………... iii)…………………………………………………………………………………………... iv)…………………………………………………………………………………………... v) …………………………………………………………………………………………... vi)…………………………………………………………………………………………... 22. Pengalaman memeriksa kertas: Kertas/ Mata pelajaran:………………………Tahun: ………. Peperiksaan:…................... 23. Tugas Khas di Sekolah/Zon/PKG/PPD/JPN. ……………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………

24. Kakitangan Sumber / Fasilatator / Sumbangan. ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………………

Tandatangan Guru :……..…………………… (

)

2

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