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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<title>Borang Sekolah</title>
<link rel="stylesheet" href="css/style.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
<script src="js/app.js"></script>
</head>
<body>
<div id="toolbar" class="noprint">
<div id="filename">untitled</div>
<button id="new_button">NEW</button>
<button id="save_button">SAVE</button>
<button id="save_as_button">SAVE AS</button>
<button id="delete_button">DELETE</button>
<span class="divider"></span>
<button id="print_button" onclick="window.print()">PRINT</button>
<button id="reset_button">RESET</button>
<select name="files" id="files">
<option value="">[--- select saved file ---]</option>
</select>
</div>
<div id="guide" class="noprint">
<h2>Pengenalan</h2>
<p>Borang Maklumat Murid untuk sekolah di Malaysia.</p>
<p>Ini adalah borang ringkas yang boleh ibubapa isi dan cetak kemudian untuk diberikan ke pihak sekolah.</p>
<p>Saya <a href="https://iszuddinismail.com" target="_blank">Iszuddin Ismail</a>. Saya membina borang ini bagi mengelak keperluan untuk menulis tangan borang ini berkali-kali bagi setiap anak yang bersekolah. Malah dengan ini anda boleh menyimpan
maklumat yang telah dimasukkan untuk kegunaan untuk anak lain, dan juga untuk tahun berikutnya.
</p>
<p>Ini sebenarnya projek peribadi saya sebab penat nak isi borang ni setiap tahun untuk semua anak. Pastinya borang ini berbeza mengikut sekolah. Terpulanglah nak guna macam mana.</p>
<p>Kawan-kawan programmer boleh fork atau download projek ni di GitHub kalau nak di <a href="https://github.com/kidino/borang-sekolah">https://github.com/kidino/borang-sekolah</a></p>
<h2>Storan Data</h2>
<p>Data yang ditaip di sini <strong>TIDAK DISIMPAN DI SERVER</strong>. Ianya menggunakan storan LocalStorage di pelayar (browser) masing-masing. Maka saya tidak menyimpan maklumat anda.</p>
<h2>Cetakan</h2>
<p>Apabila mencetak, gunakan setting kertas A4, dan custom margin. Saya cadangkan margin berikut:</p>
<p>Atas: 0.26"<br>Bawah: 0.65"<br>Kanan: 0.38"<br>Kiri: 0.43"</p>
<p>Dicadangkan buangkan setting <em>Header & Footer</em></p>
<p>Ujian cetakan hanya dijalankan menggunakan pelayar Chrome.</p>
<h2>Pepijat & Ralat</h2>
<p>Ini projek sampingan peribadi dibangunkan dalam sehari dua. Pastinya ada pepijat dan ralat. Saya tak jamin saya akan baiki apa-apa masalah tersebut.</p>
<h2>Disclaimer</h2>
<p>Anda gunakan kemudahan ini dengan secara sukarela dan saya tidak bertanggungjawab atas apa-apa masalah yang timbul daripada menggunakan kemudahan ini.</p>
<p>Projek ini juga tidak ada kena mengena dengan sebarang projek kerajaan Malaysia, Kementerian Pendidikan, Jabatan Pendidikan daerah atau negeri, ataupun pihak sekolah.</p>
</div>
<form id="borang">
<table class="borang" cellpadding="0" cellspacing="0" border="0">
<tr class="width-setting">
<td style="width:25px"></td>
<td style="width:25px"></td>
<td style="width:200px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
<td style="width:30px"></td>
</tr>
<tr>
<td colspan="11" class="main-label">BORANG MAKLUMAT MURID<br> MODUL PENGURUSAN MURID, SISTEM PENGURUSAN SEKOLAH<br> KEMENTERIAN PENDIDIKAN MALAYSIA
</td>
<td class="main-label" colspan="7"><img class="logo" src="img/logo.png" alt=""></td>
</tr>
<tr class="spacer-tall">
<td> </td>
</tr>
<tr>
<td class="num label">A.</td>
<td colspan="17" class="label">MAKLUMAT DIRI MURID</td>
</tr>
<tr>
<td> </td>
<td class="num">1.</td>
<td>NAMA PENUH</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<!-- <tr>
<td> </td>
<td class="num">1.</td>
<td>NAMA PENUH</td>
<td colspan="15" class="boxx" style="border-right: 1px solid #000;">
<input type="text" id="test" maxlength="15" style="outline: none; padding-left: 10px; width:100%; text-align: left; background: rgba(0,0,0,0); letter-spacing: 20px; "></td>
</tr> -->
<tr class="spacer">
<td colspan="2" rowspan="2"></td>
<td rowspan="2" class="helper vtop">(seperti dalam MyKad/MyKid)</td>
<td colspan="15"></td>
</tr>
<tr>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">2.</td>
<td>TARIKH LAHIR</td>
<td class="box"></td>
<td class="box last"></td>
<td class="center">/</td>
<td class="box"></td>
<td class="box last"></td>
<td class="center">/</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="5"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td colspan="2" class="vtop mid helper">(hari)</td>
<td> </td>
<td colspan="2" class="vtop mid helper">(bulan)</td>
<td> </td>
<td colspan="4" class="vtop mid helper">(tahun)</td>
<td colspan="5"></td>
</tr>
<tr>
<td> </td>
<td class="num">3.</td>
<td>JANTINA</td>
<td colspan="2" class="num">Lelaki</td>
<td class="box last"></td>
<td class="num" colspan="6">Perempuan</td>
<td class="box last"></td>
<td colspan="5"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">4.</td>
<td>NO. MY KAD / MY KID</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="3"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">5.</td>
<td>NO. SIJIL LAHIR</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">6.</td>
<td>NO. PASPORT</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr class="spacer">
<td colspan="10"></td>
<td colspan="8" class="helper">(Nyatakan Negara Asal)</td>
</tr>
<tr>
<td> </td>
<td class="num">7.</td>
<td>KEWARGANEGARAAN</td>
<td colspan="5">Warganegara</td>
<td class="box last"></td>
<td></td>
<td colspan="8" rowspan="5" class="boxx last"><input type="text"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td colspan="5">Bukan Warganegara</td>
<td class="box last"></td>
<td></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td colspan="5">Pemastautin Tetap</td>
<td class="box last"></td>
<td></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">8.</td>
<td>KAUM / KETURUNAN</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">9.</td>
<td>AGAMA</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">10.</td>
<td>BAHASA PERTURURAN</td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="12" class="helper lpad">(Sila rujuk Lampiran A)</td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td rowspan="2"> </td>
<td class="num vtop" rowspan="2" valign="top">11.</td>
<td rowspan="2" valign="2" class="vtop">TARIKH MASUK SEKOLAH SEMASA</td>
<td class="box"></td>
<td class="box last"></td>
<td class="center">/</td>
<td class="box"></td>
<td class="box last"></td>
<td class="center">/</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="5"></td>
</tr>
<tr>
<!-- <td colspan="3"> </td> -->
<td colspan="2" class="vtop mid helper">(hari)</td>
<td> </td>
<td colspan="2" class="vtop mid helper">(bulan)</td>
<td> </td>
<td colspan="4" class="vtop mid helper">(tahun)</td>
<td colspan="5"></td>
</tr>
<tr>
<td> </td>
<td class="num">12.</td>
<td>ANAK KE BERAPA</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="13" class="helper"> </td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">13.</td>
<td>ALAMAT TETAP</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3" class="helper num">Poskod</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3" class="helper num">Bandar</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3" class="helper num">Negeri</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td rowspan="3"> </td>
<td class="num vtop" rowspan="3">14.</td>
<td rowspan="3" class="vtop">ALAMAT SURAT MENYURAT</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="15"></td>
</tr>
<tr>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3" class="helper num">Poskod</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3" class="helper num">Bandar</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3" class="helper num">Negeri</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"> </td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">15.</td>
<td>JARAK KE SEKOLAH</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="13" class="helper lpad">km </td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">16.</td>
<td>MURID TINGGAL DENGAN</td>
<td class="boxx last" colspan="15"><input type="text"></td>
</tr>
<tr class="page-break">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">17.</td>
<td>ASRAMA</td>
<td class="num">Ya</td>
<td class="box last"></td>
<td class="num" colspan="4">Tidak</td>
<td class="box last"></td>
<td colspan="8"></td>
</tr>
<tr class="spacer">
<td colspan="2"></td>
<td rowspan="2" class="helper vtop">(Sila rujuk Lampiran A)</td>
<td colspan="15"></td>
</tr>
<tr>
<td colspan="2"> </td>
<td colspan="2" class="helper">Jika Ya.</td>
<td colspan="4" class="num">Jenis Asrama</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="9" class="num">Nama Asrama</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num vtop" rowspan="3">18.</td>
<td rowspan="3" class="vtop">MURID BERKEPERLUAN KHAS
<br><span class="helper">(Sila rujuk Lampiran A)</span>
</td>
<td class="num">Ya</td>
<td class="box last"></td>
<td class="num" colspan="4">Tidak</td>
<td class="box last"></td>
<td colspan="8"></td>
</tr>
<tr class="spacer">
<td></td>
<td colspan="15"></td>
</tr>
<tr>
<td colspan="2"> </td>
<td colspan="2" class="helper">Jika Ya.</td>
<td colspan="4">No. Kad OKU</td>
<td class="boxx last" colspan="9"><input type="text"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="4">Program</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="4">Kategori</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="4">Jenis</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="6">Alat Bantuan Teknologi 1</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="5"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="6">Alat Bantuan Teknologi 2</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="5"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="4">Bank</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="7"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="5"></td>
<td colspan="4">No Bank Akaun</td>
<td colspan="9" class="boxx last"><input type="text"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="2"></td>
<td colspan="7" class="helper">Adakah terdapat ahli keluarga yang mengalami masalah sama?</td>
<td class="box last"></td>
<td class="lpad">Ya</td>
<td class="box last"></td>
<td class="lpad" colspan="6">Tidak</td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">19.</td>
<td>BANTUAN YANG DITERIMA</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="13" class="helper lpad">(Sila rujuk Lampiran A)</td>
</tr>
<tr class="spacer-tall">
<td colspan="18"></td>
</tr>
<tr>
<td class="num label">B.</td>
<td colspan="17" class="label">MAKLUMAT DIRI BAPA / PENJAGA UTAMA</td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">20.</td>
<td>NAMA PENUH</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="2" rowspan="2"></td>
<td rowspan="2" class="helper vtop">(seperti dalam MyKad)</td>
<td colspan="15"></td>
</tr>
<tr>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td colspan="3"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">21.</td>
<td>STATUS BAPA</td>
<td class="box"></td>
<td class="box last"></td>
<td colspan="13" class="helper lpad">(Sila rujuk Lampiran A) </td>
</tr>
<tr class="spacer">
<td colspan="18"></td>
</tr>
<tr>
<td> </td>
<td class="num">22.</td>
<td>KAUM / KETURUNAN</td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box"></td>
<td class="box last"></td>