Page 230 - Q2-ManualConsult ภ.2

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ขอกําหนด/เงื่อนไข ขอที่ ....: ..............................................................................................................................................
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ผลการปฏิบัติ  ปฏิบัติได

 ปฏิบัติไดบาง เนื่องจาก....................................................................................................................
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 ไมไดปฏิบัติตาม เนื่องจาก .............................................................................................................

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สรุปผลการปฏิบัติตามขอกําหนด/เงื่อนไข : .......................................................................................................................
 เปลี่ยนแปลงไปในทางที่ดีขึ้น เนื่องจาก...........................................................................................

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 ไมเปลี่ยนแปลง เนื่องจาก................................................................................................................

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 อื่น ๆ...................................................................................................................................................

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ลงชื่อ..........................................ผูรายงานผล

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ตําแหนง.........................................................

วันที่............/.................../...............

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