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ชื่อ....................................................................................................................... ชั้น ม.4/............ เลขที่ ...................
คุณลักษณะ พฤติกรรม
5. อยูอยางพอเพียง 1) .....................................................................................................................
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6. มุงมั่นในการทํางาน 1) .....................................................................................................................
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7. รักความเปนไทย 1) .....................................................................................................................
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8. มีจิตสาธารณะ 1) .....................................................................................................................
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