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Borang Permohonan Keahlian
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Last Name
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Email Address
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Password
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    BUTIR-BUTIR PEMOHON
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    Negeri
    Kuala LumpurSelangorPutrajayaMelakaNegeri SembilanJohorPahangTerengganuKelantanKedahPulau PinangPerlisSabahSarawak
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    Daerah
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    Tahun
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    Nama Penuh Pemohon (Huruf Besar)
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    No. K/P (B)
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    Jantina
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    Tarikh Lahir
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    Status (Bujang/Berkahwin)
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    Alamat Rumah
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    No. Tel (R)
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    Telefon Bimbit
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    Email Pemohon
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    BUTIR-BUTIR PERNIAGAAN
    Nama Syarikat (Huruf Besar)
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    No. Pendaftaran Syarikat
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    Tarikh Penubuhan
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    Status Perniagaan
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    Alamat Syarikat:
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    No. Tel (P)
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    No. Fax
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    Email Syarikat
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    Website
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    Jawatan Dalam Syarikat
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    Pemilik Jumlah Saham (%)
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    Modal Berbayar
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    Modal Dibenarkan
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    Pemilik Saham (%)
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    Anggaran Jualan Tahunan
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    Jenis Perniagaan
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    Pernah Mendapat Pinjaman
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    Bank
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    Agensi
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    Dokumen Sokongan
    Gambar
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    Salinan Ic
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