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Borang Sumbangan Kelab - bheuu

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BORANG PERMOHONAN<br />

SUMBANGAN KEBAJIKAN<br />

KELAB SUKAN DAN KEBAJIKAN BHEUU<br />

Nama: ............................................................. Bahagian:.....................................<br />

No. Kad Pengenalan:....................................... Tel:...............................................<br />

Tarikh mula berkhidmat di BHEUU:...............................................<br />

Jenis <strong>Sumbangan</strong>:<br />

(sila tandakan dipetak berkenaan)<br />

1. Perkahwinan pertama<br />

2. Kelahiran anak pertama ahli di BHEUU<br />

3. Persaraan/ Pertukaran<br />

4. Ahli yang sakit dan dimasukkan ke wad<br />

8. Kecemerlangan akademik anak ahli:<br />

UPSR – 5A<br />

PMR - 7A<br />

SPM - 8A<br />

STPM - 4A<br />

9. Kematian (Ahli / Suami atau Isteri / Anak)<br />

Ibu bapa/ Ibu Bapa Mertua

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