BORANG MAKULMAT SAKSI
KEPADA PEMINJAM, PENJAMIN PERTAMA DAN
PENJAMIN KEDUA
NAMA :
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TARIKH LAHIR :
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NO. KAD PENGANALAN :
________________TARAF WARGANEGARA_________________________
ALAMAT RUMAH TETAP :
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PEKERJAAN :
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JUMLAH PENDAPATAN
SEBULAN :
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NAMA & ALAMAT MAJIKAN:
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ALAMAT TEMPAT BERTUGAS:
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TELEFON RUMAH :
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TELEFON PEJABAT :
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TARAF SAKSI :
( PEGAWAI KUMPULAN PENGURUSAN DAN PROFESIONAL, CONTOHNYA PEGAWAI DAERAH, PENGETUA / GURU BESAR SEKOLAH KERAJAAN )
TARIKH:
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TANDATANGAN SAKSI & COP JAWATAN