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SCHOOL CODE:
FORM: 1 / 2 / 3
SCORE
No.
Students Name
IC NO.
Assessors Score
Coordinators Score
Excellent
Good
Satisfactory
Weak
Excellent
Good
Satisfactory
Weak
15-12
11-8
7-4
3-1
15-12
11-8
7-4
3-1
Difference
(+/-)
Checked by Coordinator:
Verified by Principal/
District Assessor :
Signature :_______________________________
Signature
:_____________________________
Name
Date
Name
Date
:_____________________________
:_____________________________
:_______________________________
:_______________________________
Accepted
Score
Students Name
Aiman bin Abdul
Dinesh A/L Murugan
Farah binti Zainal
Lisa Wong
Karam Singh
Ryan Mojolou
Jessica Rine
Peggy A/P Nondin
James Wong
Hassan Sani
IC NO.
960326-08-5891
960412-12-6673
961212-01-7272
960613-15-5992
960516-07-7375
960726-12-5781
961111-12-5622
960327-12-5662
960831-08-7001
960101-15-6333
Assessors Score
Coordinators Score
Excellent
Good
Satisfactory
Weak
Excellent
Good
Satisfactory
Weak
15-12
11-8
7-4
3-1
15-12
11-8
7-4
3-1
10
10
11
10
8
5
12
13
13
13
3
9
10
11
6
8
10
10
Difference
(+/-)
Accepted
Score
-1
+1
6
11
10
8
13
13
6
8
10
10
+3
+1
+3
-1
-1
Checked by Coordinator:
Verified by Principal/
District Assessor :
Signature :_______________________________
Signature
:_____________________________
Name
Date
Name
Date