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BORANG PENYERTAAN PERTANDINGAN
Penyertaan Pertandingan:
(     ) Esei			          (   ) Poster				              (   ) Kartun				              (   ) Blog
(     ) Fotografi		      (   ) Buku Skrap		            (   ) “Speak Up”
(     ) Mewarna Akhir (akan berlangsung pada 30 Julai 2011. Sila isi borang penyertaan dan faks
	       atau e-mel kepada urusetia sebelum 17 Jun 2011)

Kod Tajuk:______________________________________ (kecuali Pertandingan Mewarna Akhir)

*Sila hantarkan sijil penyertaan kepada:
( ) Sekolah		 ( ) Rumah


Nama Penuh:___________________________________________________________________
(mengikut Kad Pengenalan / Sijil Kelahiran)

Umur	 :_________	 __			
                _                       Jantina: L / P		         No. MyKad / MyKid: ____________________

Nama Sekolah	 : ________________________________________________________________

KOD HPM Sekolah**: ______________		                    Tahun/Tingkatan:_________ 	 Kelas:____________

Alamat Sekolah/ Rumah: _________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Tel Peserta (Rumah / Tel bimbit): ___________________________________________________

Tel (Sekolah / Penjaga):___________________________________________________________

E-mel peserta: _________________________________________________________________

Nama (Penjaga / Guru Penasihat): __________________________________________________

Dengan ini saya mengesahkan bahawa penyertaan yang disertakan ini adalah hasil karya
asal saya dan saya bersetuju dengan semua syarat pertandingan ini.




Tandatangan: __________________________		                        Tarikh: _______________________________
(borang yang tidak ditandatangani oleh peserta dikira tidak layak)

*	    Pilih salah satu
**	   Bagi mendapatkan KOD HPM Sekolah, setiap sekolah perlu mendaftarkan sekolah masing-masing di laman web HPM,
      www.mypengguna.com. KOD HPM Sekolah ini adalah wajib bagi semua sekolah yang hendak mengambil bahagian dalam
      Anugerah Penyertaan Terbanyak peringkat sekolah. Sekolah-sekolah lain juga digalakkan untuk mendaftar dan mendapatkan
      KOD HPM Sekolah bagi membantu Urusetia HPM dalam urusan penghantaran sijil penyertaan.

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  • 1. BORANG PENYERTAAN PERTANDINGAN Penyertaan Pertandingan: ( ) Esei ( ) Poster ( ) Kartun ( ) Blog ( ) Fotografi ( ) Buku Skrap ( ) “Speak Up” ( ) Mewarna Akhir (akan berlangsung pada 30 Julai 2011. Sila isi borang penyertaan dan faks atau e-mel kepada urusetia sebelum 17 Jun 2011) Kod Tajuk:______________________________________ (kecuali Pertandingan Mewarna Akhir) *Sila hantarkan sijil penyertaan kepada: ( ) Sekolah ( ) Rumah Nama Penuh:___________________________________________________________________ (mengikut Kad Pengenalan / Sijil Kelahiran) Umur :_________ __ _ Jantina: L / P No. MyKad / MyKid: ____________________ Nama Sekolah : ________________________________________________________________ KOD HPM Sekolah**: ______________ Tahun/Tingkatan:_________ Kelas:____________ Alamat Sekolah/ Rumah: _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Tel Peserta (Rumah / Tel bimbit): ___________________________________________________ Tel (Sekolah / Penjaga):___________________________________________________________ E-mel peserta: _________________________________________________________________ Nama (Penjaga / Guru Penasihat): __________________________________________________ Dengan ini saya mengesahkan bahawa penyertaan yang disertakan ini adalah hasil karya asal saya dan saya bersetuju dengan semua syarat pertandingan ini. Tandatangan: __________________________ Tarikh: _______________________________ (borang yang tidak ditandatangani oleh peserta dikira tidak layak) * Pilih salah satu ** Bagi mendapatkan KOD HPM Sekolah, setiap sekolah perlu mendaftarkan sekolah masing-masing di laman web HPM, www.mypengguna.com. KOD HPM Sekolah ini adalah wajib bagi semua sekolah yang hendak mengambil bahagian dalam Anugerah Penyertaan Terbanyak peringkat sekolah. Sekolah-sekolah lain juga digalakkan untuk mendaftar dan mendapatkan KOD HPM Sekolah bagi membantu Urusetia HPM dalam urusan penghantaran sijil penyertaan.