Serial No: 1503

Student Reg. No : L0241/10 Name : Muliani Cim Sex: Female Birth Cert. No./I.C:4033/96 Date / Place of Birth : Hospital Keningau/21 November 1996 Fathers Name/I.C No. : Cim Bin Antai/700537-12-5061 Mothers Name/I.C No. : Dewanti Serambu/EXB588587 Address : Kg. Kolombong, Inanam Previous School : Sekolah Rendah Advent Tamparuli Registration Date : January 3, 2008 Date of Leaving School : December 2010 Class Attended : Primary 4, 5 and 6 Last Examination Attended : UPSR Reason of Leaving School : Completed Primary 6 Conduct : Good Principals Comments : Recommended to secondary school

___________________ Principal