Profil Diri

Gambar
Ukuran
Pasport

1. NAMA PENUH : ________________________________________________

2. NO. KAD PENGENALAN : ________________________________________
3. NOMBOR SURAT BERANAK : ____________________________________
4. ALAMAT RUMAH : ______________________________________________
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5. NOMBOR TELEFON : ___________________________________________
6. ALAMAT PENJAGA (JIKA BERLAINAN DARIPADA ATAS) :
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_________________________ NO. TELEFON : _______________________
7. TAHUN / TINGKATAN : __________________________________________
8. JAWATAN DALAM PPIM

BIL TAHUN NAMA JAWATAN YANG DI PEGANG

DARI HINGGA

9. PENILAIAN TAHAP

BIL NAMA SIJIL TAHUN LULUS

10. BUTIR KEAHLIAN

10.1 TAHUN MENJADI AHLI PPIM :
10.2 NOMBOR AHLI :
10.3 PEMBAYARAN YURAN

BIL TAHUN KADAR NOMBOR BIL TAHUN KADAR NOMBOR

YURAN RESIT YURAN RESIT

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TANDATANGAN AHLI FALSAFAH
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(NAMA : ) TARIKH : ________________

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MATLAMAT

FALSAFAH

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OBJEKTIF

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 LOGO PPIM

BENDERA PPIM

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MOTTO / COGANKATA

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LAGU PUTERI

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IKRAR PUTERI

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SULUHKATA

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 STRUKTUR ORGANISASI
PERGERAKAN PUTERI ISLAM MALAYSIA

1. PERINGKAT SEKOLAH

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2. PERINGKAT DAERAH / BAHAGIAN

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3. PERINGKAT NEGERI

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4. PERINGKAT KEBANGSAAN

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 CATATAN AKTIVITI

TARIKH : ________________________________________ MASA : __________

TAJUK : ____________________________________________________________

NAMA GURU PEMIMPIN / PENCERAMAH / FASILITATOR :

CATATAN GURU
PEMIMPIN
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PENGISIAN AKTIVITI

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PENGISIAN AKTIVITI CATATAN GURU
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