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BORANG AHLI

SILA PENUHKAN MAKLUMAT-MAKLUMAT SEPERTI BERIKUT, PRINT DAN HANTAR KEPADA KAMI BESERTA WANG POS/KIRIMAN WANG/CEK SEBANYAK RM20(UNTUK KEAHLIAN SEUMUR HIDUP) DENGAN NAMA ABD RAZAK BIN MD NOR DI ALAMAT NO.13B LRG HJ MAHFODZ, PARIT SEMPADAN, PARIT RAJA, 86400 BATU PAHAT, JOHOR.
 

NAMA PENUH:_____________________________________________________________

ALAMAT SURAT MENYURAT:_______________________________________________

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NO.WANG POS/
KIRIMAN WANG/CEK:            ________________________________