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Student
Student IC Student Name Code Address State
Pic

B-10 JALAN NURI


TAMAN NURI 08000
KUMARESAN A/L SUNGAI PETANI
990614-02-7183 NANDEGOPALAN KEDAH KEDAH

1240 LORNG 49
TMAN RI 08000
SURIA A/L SUNGAI PETANI
970116-07-5141 SIVANANDAN KEDAH KEDAH

NO.64 LORONG
DATO ABDUL
HAMID 25A TAMAN
GIREESAN A/L SENTOSA 41200
070306-10-5065 JAMES KLANG SELANGOR SELANGOR

NO.112 LEBUH
PUTERA ITMAL GAMBUS TAMAN
DANIAL BIN DESAWAN 41200
00716-10-0331 JAMALUDDIN KLANG SELANGOR SELANGOR

NO.33 JALAN 1/8


BANDAR KINRARA
PRASANTH KUMAR 58200 KUALA KUALA
071010-14-7033 A/L SHIVA KUMAR LUMPUR LUMPUR

NO.12 LALUAN
BERCHAM UTARA 6
REVATHY A/P TAMAN UTAMA
960916-08-5306 RAMASUNDRAM 31400 IPOH PERAK PERAK
NO.432 LORONG 8
TAMAN TUN
SAMBANTHAN
31100 SG.SIPUT
961223-08-5375 VINOTH A/L SELVAM PERAK PERAK

NO.16 JALAN BRJD


TMN BUKIT
RAWANG JAYA 2
DINESH KUMAR A/L 48000 RAWANG
000123-10-1603 R.SUBRAMANIAM SELANGOR SELANGOR

NO.4 JALAN
MUARA 16 TAMAN
MUARA ESBEE
SUNGAI BULOH
DEENESH A/L 45800 JERAM
960108-10-6105 SATHISH SELANGOR SELANGOR

NO.36 JALAN 3/14


TAMAN REKAMAS
SASITARAN A/L 3,86200 SIMPANG
990703-01-7059 TAMIL HARASAN RENGGAM, JOHOR JOHOR
Contact Student Personal
City Poscode Gender DOB Race Nationality
Number Email

Ryan
SUNGAI Kumaresan@
PETANI 08000 M 14.06.1999 INDIAN 016-4760340 MALAYSIAN gmail.com

SUNGAI
PETANI 08000 M 16.01.1997 INDIAN 014-6116249 MALAYSIAN

KLANG 41200 M 06.03.1997 INDIAN 016-6839568 MALAYSIAN

KLANG 41200 M 16.07.2000 ISLAM 011-23341614 MALAYSIAN

BANDAR
KINRARA 58200 M 10.10.1997 INDIAN 010-2149211 MALAYSIAN

IPOH 31400 F 16.09.1996 INDIAN 010-3787106 MALAYSIAN


SG.SIPUT 31100 M 23.12.1996 INDIAN 014-3082804 MALAYSIAN

RAWANG 48000 M 23.01.2000 INDIAN 010-3609262 MALAYSIAN

JERAM 45800 M 08.01.1996 INDIAN 012-6042030 MALAYSIAN

SIMPANG
RENGGAM 86200 M 07.03.1999 INDIAN MALAYSIAN
Health Course Bank Bank
Student ID Session Course Code Course Entry Date
Status Level Name Details

C-050-1/C-
0691 2014 ELECTRICAL 050-2 L1&L2 01.07.2014

C-050-1/C-
0692 2014 ELECTRICAL 050-2 L1&L2 01.07.2014

0693 2014 01.07.2014 CIMB

0694 2014 01.07.2014

0695 2014 02.07.2014

0696 2014 04.07.2014


0697 2014 04.07.2014

0698 2014 05.07.2014

0699 2014 07.07.2014

C-050-1/C-
0700 2014 ELECTRICAL 050-2 L1&L2 11.07.2014 CIMB
Sponsership Sponsershi Sponsershi Sponsershi Sponsershi Sponsershi Sponsershi Sponsershi Sponsershi Sponsershi
p (Y 1) p (Y 1) p (Y 1) p (Y 1) p (Y 2) p (Y 2) p (Y 2) p (Y 2)
(Y 1) p (Y 2)
Address Amount Contact Duration Address Amount Contact Duration

7054375446
7054900539
Other Highest
Other Other Sponsershi Other Reason for
Academic Year School Gang
Sponsershi Sponsershi Qualificati School Leaving
p Qualificati Studied Type Affiliation
p p Amount Duration on on School

SJKT
SARASWAT
UPSR HY SJK(T)

SMK
BANDAR COME TO
SUNGAI JOIN
PMR PETANI SK COLLEGE

CONTINUE
TO STUDY
SMK LA IN
SPM SALLE MYSKILLS

SK
TAMAN
KLANG
UPSR JAYA

SMK
BANDAR
PUCHONG STOP
SPM JAYA (B) SJK(T) FORM 3

SJKT
MAHATHM
A GANDHI
KALASALAI,
UPSR SG.SIPUT
SMK DATUK
HAJI ABDUL
WAHAB,
SUNGAI
SIPUT
SPM UTARA FINISH SPM

CONTINUE
TO STUDY
IN
UPSR SK RAWANG MYSKILLS

SMK
SULTAN
SPM ABDUL AZIZ SJK(T)

SJK(T)
LADANG
SIMPANG
UPSR RENGGAM
Spoken Written

Malay English Tamil Cantonese Mandarin Malay English Tamil Cantonese Mandarin
Father Details

Contact No Contact
Father IC No Nationality Status Address (1) No (2)

NO B 10
JALAN NURI
NANDEGOPLON 08000
A/L 550412-02- SUNGAI
POONGAVANAM 5025 MALAYSIAN MARRIED PETANI

1240 LORONG
49 08000
SUNGAI
SIVANANDAN A/L 610519-02- PETANI
M VISNAMBARAM 5721 MALAYSIAN DECEASED KEDAH 07-5146053

NO.64
LORONG
DATO ABDUL
HAMID 25A
TAMAN
SENTOSA
JAMES A/L KV 591201-08- 41200 KLANG 016-
SIMON 5117 MALAYSIAN DECEASED SELANGOR 6725727

NO.112
LEBUH
GAMBUS
TAMAN
DESAWAN
JAMALUDDIN BIN 650625-10- 41200 KLANG 010- 012-
ABD RAHMAN 6599 MALAYSIAN MARRIED SELANGOR 5102627 6639495

NO.33 JALAN
1/6 BANDAR
KINRARA
SELVOMONY A/L 670930-10- 58200 KUALA 010- 03-
PRIASAMY 5961 MALAYSIAN LUMPUR 2194211 80703249
PASSED
AWAY

NO.16 JALAN
BRJD TMN
BUKIT
RAWANG JAYA
2 4800
R.SUBRAMANIAM 660808-10- RAWANG, 016-
A/L N.RAMAN 6881 MALAYSIAN MARRIED SELANGOR 2441150

NO.4 JALAN
MUAR
AESBEE,
45800 JERAM
KUALA
SATHISH A/L 670213-10- LUMPUR, 012-
RENGENATHAN 5109 MALAYSIAN MARRIED SELANGOR 6042030

TAMIL HARSAN
A/L GOPAL 800815-01- PASSED
KRISHNAN 5285 MALAYSIAN AWAY
Details

Highest Reason Of
Qulificatio Death ( If Occupation Employer Employer Employer Salary Mother IC No
Name Address Contact
n Any)

RAMANY
A/P 581012-
PERAMAL 02-5204

WORK IN
SHOP RM30.00

MALAR
LORRY A/P 91037-
DRIVER RM1,000.00 JAMES 10-6310

ROJEMAR
DO OWN ITA BINTI 801227-
BUSSINESS AHMAD 06-5184

THAMILA
RASAI
A/P 650505-
OPERATOR MUTHU 10-7028

RAJESWA
RI A/P
RANGASA 590924-
MY 08-5634
VEELMAN
I A/P 690403-
RAJOO 08-5530

RAJESWA
LORRY RY A/P 731017-
DRIVER RM2,008.00 IYAWO 04-5256

NO.9
JALAN
MUARA
1/2,
TAMAN
MUARA
ESBEE
45800
JERAM, NAVAJOT
KUALA HI A/P
ROTCERY KIRUTHIG SELANGO KANDERA 690918-
SHOP A STORE R RM200.00 SAMY 08-6006

THERESA
A/P
GOPALAK 881111-
RISHNAN 01-5858
Mother Details

Highest Reason Of Occupatio


Contact No (1) Contact No Qulificatio
Nationality Status Address Death ( If
(2) n
n Any)

B 10 JALAN
NURI 08000
SNGAI PETANI
MALAYSIAN MARRIED KEAH

NO.64 LORONG
DATO ABDUL
HAMID 25A
TAMAN
SENTOSA 41200 DOCUME
KLANG NTSTATIO
MALAYSIAN SELANGOR 016-2001980 N

NO.112 LEBUH
GAMBUS
TAMAN
DESAWAN
41200 KLANG HOUSE
MALAYSIAN MARRIED SELANGOR 012-6639495 WIFE

NO.33 JALAN
1/6 BANDAR
KINRARA 58200 03- HOUSE
MALAYSIAN KUALA LUMPUR 014-3335931 80703249 WIFE

27B, LADANG
KEMIRI SUNGAI
BSIPUT PERAK
MALAYSIAN 31100 010-3787106 LABOR
NO.432 TAMAN
TUN
SAMBANTAN WORK IN
31100 SUNGAI 011- RESTAUR
MALAYSIAN SIPUT PERAK 26469365 ANT

NO.16 JALAN
BRJD TMN
BUKIT RAWANG
JAYA 2 4800
RAWANG, HOUSE
MALAYSIAN MARRIED SELANGOR WIFE

NO.4 JALAN
MUAR AESBEE,
45800 JERAM
KUALA
LUMPUR, HOUSE
MALAYSIAN MARRIED SELANGOR WIFE

NO.35 JALAN
ERA 6, TAMAN
ERA 86000
SIMPANG
RENGGAM, 011- OPERATO
MALAYSIAN JOHOR 36544734 R
Remark on
Employer Employer Employer Total Not
Salary Primary Secondary Married
Name Address Contact Children Working Children
( If Any)

3 TAHAP 3

RM1,450.00 3 DIPLOMA

3 SPM

RM500.00 1
RM600.00 3 YEAR 6

5 FORM 2

4 SPM

RM900.00 6 SPM
Estimated Car ( RM) Motorcycl Astro (RM) Newspape Type of Favourite
Type of Building
r Newspape Radio State
House Value e ( RM) Fund
( Reading) r Channel

KEDAH

KEDAH

SELANGO
R

SELANGO
R

KUALA
LUMPUR

PERAK
PERAK
Date Date Pratical Pratical Pratical Occupatio Pratical Remark on
Fund Date Receipt No Graduated Graduated Employer's Employer's Duration n Salary Pratical
(1) (2) Name Add
Remark on Student Student Family
Employer's Employer's Working Occupatio Record
Salary Work Testimoni Testimoni Backgroun
Name Add Duration n Disiplin
Status Before After d
Taksiran by Taksiran by Grantor Grantor Grantor Grantor Grantor Grantor Grantor
Grantor IC
Lecturer Selvamalar Name DOB Age Sex Nationality Race Address
Grantor Grantor Grantor Grantor Grantor Grantor Grantor
Married Relationshi Grantor Contact Occupatio Employme Employme Grantor Employme
Email Salary
Status p No n nt nt Address nt Number

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