Borang Tuntutan Tunai

  • October 2019
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TUNTUTAN TUNAI (CASH CLAIM) (POS M.0. 6) 229990-M

KIRIMAN WANG (MONEY ORDER)

RM

Matawang Asing (Foreign Curency)

Sen

atau (or)

Amaun Kiriman Wang (Money Order Amount)

Tandakan (√ ) Di Ruang Berkenaan (Please Tick (√) The Appropriate Column) Jenis Dalam Negeri Luar Negeri (Type) (Domestic) (Foreign) ____________________________________________________________ KW Biasa (Ordinary MO) KW Telegraf (Telegraphic MO)

Untuk Kiriman Wang Ekspres / Telegraf (For Express / Telegraphic Money Order)

KW Ekspres (Express MO)

Mesej: ______________________________________________________________ (Message) ____________________________________________________________

Pejabat Pembayar (Payment Office)

_________________________________________

No. Tel. Penerima: _____________________________________________________ (Payee’s Tel. No)

UNTUK KEGUNAAN PEJABAT (For Office Use)

Nama Penerima: _______________________________________________________ (Payee’s Name) _______________________________________________________

RM

Alamat (Address): ______________________________________________________

_____________________________________________________________________

Amaun Komisen B Tambahan B Telegraf B T Telegraf

Nama Pengirim: _______________________________________________________

Jumlah

_____________________________________________________________________

Sen

(Sender’s Name) ______________________________________________________ No. Kad Pengenalan: ___________________________________________________ (I.C Number) No. Kenderaan: _______________________________________________________ ____________________________________ No Tel: _________________________ T.T. / C.I.J Pengirim: (Sender’s Signature / Thumbprint)

Jenis

Cap Tarikh

Pejabat Pengeluar

Tarikh Keluaran

Nombor Stok

_____________________________ T/tangan Pegawai Pengeluar

Resit Permohonan Kiriman Wang (Money Order Application Receipt)

TUNTUTAN TUNAI (CASH CLAIM)

Nama Penerima: (Sender’s Name) No. K/P Penerima: (Sender’s IC No) 229990 - M

No Kenderaan: Nama Pejabat Pos:

………………………….. Pegawai Pengeluar Issuing Officer

Jumlah Bayaran: Tarikh: Cap Tarikh

(UNTUK SIMPANAN PENGIRIM) (TO BE KEPT BY REMITTER)

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