Access Cards Issue Form
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PERSATUAN PENDUDUK PUTERI 9 PUCHONG, SELANGOR ( NOMBOR PENDAFTARAN: 1356-08-SEL) No 6 Jalan Puteri 9/1C, Bandar Puteri, 47100 Puchong, Selangor
( Please fill in triplicate ) Date: Mr/Ms House No….. Jalan Puteri 9/…… Bandar Puteri, 47100, Puchong, Selangor. Dear Sir, Re ACCESS CARD FOR ENTRY TO PUTERI 9 As per your request, we forward herewith the following card (s) for your safekeeping and usage. A security deposit of RM 50/- ( Ringgit Malaysia: Fifty only) shall be collected for each card. The deposit shall be refundable if the card is returned to our office in good condition. Please verify the serial number and acknowledge receipt by signing ( in duplicate) and return one copy to our office for record purposes. Serial Number
Your payment of RM
Signature of Issuer
Signature of Recipient
/- is acknowledged for ……..cards issued to you as above.
Thank you Yours faithfully. For and on behalf of PERSATUAN PENDUDUK PUTERI 9 PUCHONG, SELANGOR Chairman Cc 1. Treasurer 2. Resident
( Please fill in triplicate ) Date: Mr/Ms House No….. Jalan Puteri 9/…… Bandar Puteri, 47100, Puchong, Selangor. Dear Sir, Re ACCESS CARD FOR ENTRY TO PUTERI 9 As per your request, we forward herewith the following card (s) for your safekeeping and usage. A security deposit of RM 50/- ( Ringgit Malaysia: Fifty only) shall be collected for each card. The deposit shall be refundable if the card is returned to our office in good condition. Please verify the serial number and acknowledge receipt by signing ( in duplicate) and return one copy to our office for record purposes. Serial Number
Your payment of RM
Signature of Issuer
Signature of Recipient
/- is acknowledged for ……..cards issued to you as above.
Thank you Yours faithfully. For and on behalf of PERSATUAN PENDUDUK PUTERI 9 PUCHONG, SELANGOR Chairman Cc 1. Treasurer 2. Resident
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