June 2, 2020

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Keterangan Kenderaan/Vehicle Details: Kategori Kenderaan/ Vehicle Category ...

Keterangan Kenderaan/Vehicle Details:


Kategori Kenderaan/

Vehicle Category






Bil. Pendaftaran/

Registration No.:






Buatan & Modal

Make & Model





No. Enjin/

Engine No.:






No. Rangka/

Chasis No.:






Warna Kenderaan/

Vehicle Colour:






Tarikh Mansuh Lesen Kenderaan/

Vehicle License Expiry Date:









Keterangan Pemohon/Applicant Details:


Bil. Kad Pintar/Bil. Paspot

IC.No (xx-xxxxxx)/Passport No.:





Nama/

Name :





Alamat/

Address





Pos.Kod/

Post Code





Pemilik Berdaftar /

Registered Owner






Keterangan Pemilik/Owner Details :


Bil. Kad Pintar/Bil. Paspot

IC.No/Passport No.




Nama/

Name





Other Details



Remarks













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