JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Laporan Kerosakan SMK Lui Barat
Sila lengkapkan borang laporan kerosakan dibawah selengkapnya. Satu kerosakan satu borang kerosakan. Anda akan dihubungi jika perlu untuk maklumat lanjut.
Sistem ini dibangunkan oleh Mohd Rasul Bin Abdul Rahim
Sign in to Google
to save your progress.
Learn more
MAKLMAT PELAPOR
Nama
Choose
ABDUL HALIM BIN ABU BAKAR
AFENDI BIN M.AWANG
AISHAH ZAFIERA BINTI CHE DAH
ANITA BINTI MOHAMED ALI
AZIZAH BINTI RADZALI
BAHARUDIN BIN OTHMAN
CHE NOR PISAH BINTI HARUN
EUE HONG SIONG
GUNA SEELAN A/L MARTHAN
HAMDAN BIN AB GHANI
HAZIRAH HANISAH BINTI HARUN
HIDAYATUL AJMAL BINTI THOLIBON
JAYASANGAR A/L KRISHNAN
JULIA NOR BINTI ABDUL JALIL
KAMARUL ZAMAN BIN JAFFAR
KAMISAH BINTI MANHURI @ SULAIMAN
KHAIRUN DZURIA AZNIZA BINTI MAT YAZID
LILAWATHI A/P GANESAN
MARYANI BINTI MAHMOOD
MAS NORSYAMIMI BINTI IBRAHIM
MASHAZLIZA BINTI AHMAD
MASTURA BINTI MUHAMAD MUKTAR
MAZLINA BINTI MOHAMAD
MISRIYAH BINTI MAKMUR LUBIS
MOHAMAD ASHRAF BIN MOHD ARIF
MOHAMMAD SHAHIR BIN AB AZIZ
MOHD FAKARUDIN BIN MAT ZAIN
MOHD HAZIZI BIN SARIBIN
MOHD NORISMAN BIN HUSSIN
MOHD SALLEH BIN SABAR
MOHD SHUKRI BIN AWANG HAMAT
MOHD SUHAIRI BIN BAKAR
MOHD SUKRI BIN SAMIN
MOHD TAHIR BIN AB HAMID
MOHD ZAIDI BIN MAT RADEY
MUHAMAD NAZRI BIN BAHARUDIN
NIK NOR HASNIZA BINTI MOHD YAZID
NOORFAEZAH BINTI ZAHARI
NOR ASHIKIN BINTI SHAHABUDDIN
NOR HIZAD BINTI HASAN
NOR KAMAR BIN NORDIN
NOR ZILAWATI BINTI ABD RASHID
NORAINI BINTI KHAMIS
NORASSOLAH BINTI MOKHTADIN
NORAZURA BINTI ABDUL LATIF
NORETA BINTI CHE SAID
NORHAZILA BINTI MOHD NOR
NORSHAHIRAH BINTI MOHAMAD RAFI
NORSUHADA BINTI MAT YAZID
NUR HUDA BINTI SAJOT
NUR NAJMINA BINTI ROZAINI
NURUL AINI BINTI MAD APANDI
NURUL HIDAYAH BINTI SANI
NURUL IZATI BINTI MAT YUSSUF
NURUL ZAWANI BINTI BAHARUDIN
ROHAYU BINTI HAMDAN
ROSLINAH BINTI ARAUF
RUZAINOR AFIAN BIN RAMLI
SALINAH BINTI SELAMAT
SAYIDI ASHRAF BIN AZMANUDDIN CHAN
SHARWINA BINTI JOHARI
SITI FATIMAH BINTI NUHI TAHIR
SITI SALINA BINTI MD SAID
SIVANARAYANAN A/L ARUMUGAM
TENGKU RUSMAWATI BT RAJA ZAHARIN
ZUNIZA FAZWA BINTI MOHD NOOR
FAZMALIAH BINTI MD ALI
JUNAIDAH BINTI JOHAN
LEELA ZURAIDA BINTI RAMLI
MAIZAM BINTI ARZEMAN
MOHD DZUL IZZI BIN MOHD SHUKAR
NOR HIDAYAH BINTI AHMAD MANSUR
NORZAILAH BINTI MOHD ZAIN
NURUL ADHA BINTI MUHAMMAD
NURUL AINI BINTI JASMIN
SITI AISHAH BINTI JANAL
ZAHRATUL MASRI BINTI BAHARUN
No Telefon
Your answer
LAPORAN KEROSAKAN
Lokasi Kerosakan
Your answer
Jenis Kerosakan
Your answer
Tarikh Kerosakan
Sila masukkan jangkaan atau tarikh kerosakan berlaku
MM
/
DD
/
YYYY
Keterangan Kerosakan
Your answer
KETERANGAN TAMBAHAN
Catatan
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SMK LUI BARAT.
Report Abuse
Forms
