1. จุดเด่น 

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2. จุดที่ควรพัฒนา

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3. ข้อคิดเห็น

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  (ลงชื่อ)......................................................... กรรมการผู้ประเมิน

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  ตำแหน่ง...................................................................

  วันที่......... เดือน......................................... พ.ศ. ........