Borang A.docx

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Borang A

BIL

1.

2. 3. 4.

NAMA PEMOHON / SYARIKAT

MODAL BERBAYAR

SEWA DITAWAR KAN

PENGALAM AN

NO.SIJIL KEWANGAN

NO.PEND. SYARIKAT

KEDUDUKAN PEMILIHAN

WANG PEROLEHAN RM 100(NO.CEK/ WANG POS)

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