Page 113 - buku perkhidmatan guru bimbingan dan kaunseling
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BK 16
                                   PERKHIDMATAN BIMBINGAN DAN KAUNSELING

                  Sekolah Kebangsaan / Menengah ……………………………………………………………

                                         REKOD KONSULTASI KEIBUBAPAAN


             NAMA IBU BAPA / PENJAGA  :

             ……………………………………………………………………...........................................................

             NAMA MURID (anak)   : …………………………………………………………………………...........

             ALAMAT  : …………………………………………………………………………….............................

             ……………………………………………………………………………………………………................

             TELEFON  : ……………………….........   TINGKATAN / TAHUN  : ………………..........................

             TARIKH SESI  : …………………………………        MASA  : ………………………………………..

             CARA DATANG

                      SUKARELA

                      DIRUJUK
                      DIJEMPUT

             LAPORAN SESI

                 1.  PERKARA YANG DISAMPAIKAN
                    ...............................................................................................................................................
                    ...............................................................................................................................................
                    ...............................................................................................................................................

                 2.   MASALAH SEBENAR
                    ...............................................................................................................................................

                    ...............................................................................................................................................
                    ...............................................................................................................................................

                 3.  TINDAKAN PENYELESAIAN
                    ...............................................................................................................................................
                    ...............................................................................................................................................

                    ...............................................................................................................................................

                     DISEDIAKAN OLEH :                                         DISAHKAN OLEH:


                 ………………………….......                                     …………………………….........
                       (GBKSM / GBSR)                                  (PENGETUA / GURU BESAR)







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