Borang CRK

 

 

JABATAN PENDIDIKAN SABAH JABATAN PERMOHONAN CUTI REHAT KHAS (PEKELILING PERKHIDMATAN 3 / 2005) Kepada Pe!"e#$a / G$%$ Be&a%

Saya memohon kebenaran cuti rehat khas khas selama:___________ hari mulai daripada / pada ____________ hingga ______________________________. ______________________________. (elayakan #uti Tahun Semasa

Baki #uti Sekarang

Bilangan #uti )ang &ipohon

Ta Tandatangan: ndatangan: _______________________  _______________________     Nama Penuh: _______________________  _______________________    Huruf Besar  a!atan: ___________________ ___________________________  ________ 

Baki #uti )ang &i Ba!a (ehadapan

 

Ta Tarikh: rikh: ____________________ ____________________________  ________ 

Sebab"Sebab memohon #uti :

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$ Kepada Pe"a'a a!" Me*$*$&+a! C$# Pe%,-.-!a! $# d a#a& (  ) D*$*$&+a! / Tda+ D*$*$&+a! Ta%+.  111 1111111111111111111111111 1111111111111111111111111111111111111111111  Ta!da#a!"a! Pe!"e#$a/ G$%$ Be&a%

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$ UNTUK KEGUNAAN PEJABAT Baki cuti pemohon : ______ hari %&isi %&isi dan tandatangan ringkas sebelum borang di diserahkan serahkan kepada pemohon '. Pemohon di beritahu dan cuti direkod. %Tindakan ini hendaklah diambil setelah cuti diluluskan '. Tarikh: _______________________

_____________________________________________     p Pe"a'a Pe!#ad%a! (Ba.a"a! Re+-d C$# D Se+-*a.)

 Nota % $ ' Potong mana yang tidak berkenaan. berkenaan.   %$$' (eterangan mengenai cuti yang diambil $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$ (epada : _______________________________________ ____________________________________________  _____    Pemohon Permohonan cuti tuan / puan puan telah diluluskan diluluskan selama : __________ hari hari dari ___________ hingga  _______________. Baki Baki cuti rehat khas _____________ hari.

 ____________________________________   ___________________ _________________ 

 

 b.p Pega!ai Pentadbirannnnnnnn Pentadbirannnnnnnn %Bahagian *ekod #uti di Sekolah' m.