Borang Ppm 9

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i'I

tlor.rng:PPIvI-9

PERSEKUTUANPENGAKAP MALAYSIA PENCALUNANTAULIAH SEBAGAIPESURUHIAYA IENISTAULIAH: PEI{SEKUTUA N PENGAKAPMA L AYSIA (Negeri/Daerah): JAWATAN KHASflika ada): Berhut'ungdenganlantikan irri: .. . . ......... NAN{A:

NO.K1P:

PEKERJAAN: ALAMAT (Rumah): (Pejabat):

.--_ TAULIAH yangada sekarang:

No. Tauliah: No. Kad Kmhlian:

l'erkhiclmatan

PEMIMPINPEI{GAKAP TAULIAH

DARIPADA

HINGGA

IAMAIEBKHIDMET Tahurr

I B.rlar',

MANIKAYU (PengakapKanak-KanaklFengakap lt,{uda/PengakapRe.maia/PengakapKelana) U n i h .. . . . . . . . . .

N o.S i i i l :

...............: Ti rri khl ul us:

U n i t., . . . . . . . . .

N o.S i i i L

.Tari khl ul us:

U n i [.. . . . . . . . . .

N o.S i i i L

......-.........Tari khl ul us:

Kelal'616n istimervabagi lantikan selragaiseorangPesuruhia;'a:

IIKA DlBEItl TAUTIAH SEBAGAI SEORAN(j PfSURUHIAYA SEMENTARA 5AYA aERSEDLA'MEliAtv{ATKAN KUIiSUSNTANIKATU DALAM TEMFOHDUA TAHUNSELEPA.S IVIENERIIVIA TAUI.IAH. JIKA DI AKHIRTEMI'OH ITUSAYATIDAK JUGALULU'SAYASEDIA BERHENTIDARIPADAIAWATAN ITU.IIKA DIKI,iIENDAKI Tarrikh:

Diukui tileh: ...........

Pesj.Pengerkapl)aerah:

Diakui olul.r

Pesi.Pcngakapl.k-5;c'ri:

il N.TLlK Kfic ij N.AAl\l i EU_PEJ.a BAr !rL.lisEKl ri ij A i){P.!\}GA K-AP_M{i=41$t4 i art k lr l ' r ' i i , i . i i t i r i a n :

.... . i i rr.

-[i rr.rl i i ,i r: ......

.........Tari kh: ....... . . . . . . . . . Tarikl-':

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