Borang Belian

  • October 2019
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entrepreneur

EASTANA FARM INDUSTRIES SDN BHD

(706301-

V)

KOPERASI USAHAWAN MALAYSIA BERHAD W-6-0397 No 78-1 Jalan TKS 4, Taman Komersial Senawang, 70450 Senawang, Negeri Sembilan. Tel : 06-6795573 Faks : 06-6794251, 06-6795840

BORANG PEMBELIAN (BARU ATAU PENAMBAHAN) Ruang untuk menampal slip / resit bank / bukti pembayaran : •

Keutamaan bayaran hendaklah dibuat atas nama KOPERASI USAHAWAN MALAYSIA BERHAD



Bank : AMBANK (M) BERHAD



Acc. No : 212-201-200271-5

Nama Pembeli / Penternak ……………………………………….

Cara pembayaran : Bank in / Banker cheque

No. K/P : …………………………………………………..……..

No siri slip / No Banker cheque :……………

Jumlah Belian / Tambahan : RM ………………………………...

ID Pengenal :…122540562………………..

No. Acc. Bank : ……………………………………………..…...

Nama

Nama Bank : ……………………………………………….…….

:…NUR EFFENDI BIN IHSAN..

Tarikh : ……………………………..

Tandatangan : ………………………………

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