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  • Application Car Access Card FORM A

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    DanjungTelukPulai
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    This document is an application form for residents of D'Anjung Teluk Pulai Neighbourhood Security Scheme to purchase wave access cards. The form lists the costs for initial cards and subsequent additional cards, as well as the cost to replace damaged or lost cards. It requests the applicant provide their name, address, and registration number and enclose photocopies of NRICs for each applicant. The form notes that cards are only for residents and their family members living at the same house and use of the cards is restricted to the neighborhood.

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    Security Access

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    This document is an application form for residents of D'Anjung Teluk Pulai Neighbourhood Security Scheme to purchase wave access cards. The form lists the costs for initial cards and subsequent additional cards, as well as the cost to replace damaged or lost cards. It requests the applicant provide their name, address, and registration number and enclose photocopies of NRICs for each applicant. The form notes that cards are only for residents and their family members living at the same house and use of the cards is restricted to the neighborhood.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    339 views1 page

    Application Car Access Card FORM A

    Uploaded by

    DanjungTelukPulai
    This document is an application form for residents of D'Anjung Teluk Pulai Neighbourhood Security Scheme to purchase wave access cards. The form lists the costs for initial cards and subsequent additional cards, as well as the cost to replace damaged or lost cards. It requests the applicant provide their name, address, and registration number and enclose photocopies of NRICs for each applicant. The form notes that cards are only for residents and their family members living at the same house and use of the cards is restricted to the neighborhood.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Application Access Card FORM

    DAnjung Teluk Pulai Neighbourhood Security Scheme- Purchasing Wave access card
    Item First Two (2) Cards Subsequent Cards Damage or Lost Cost RM 35.00 Per Card RM 50.00 Per Card RM 100.00 Per Card

    Please fill in the details below: How many Card you would like to Purchase Cards

    NAME 1. 2. 3. 4. 5. 6. 7.

    ADDRESS

    REGISTER NO:

    Note: 1. Each Name Application must be enclosed with photocopy NRIC. Strictly for Purchasing Resident and their family members living in the same house ONLY. Wave access card & Motorbike sticker is for the usage of DAnjung Teluk Pulai residence only. The access will be revoked if found there is misuse of these items. I, undersign hereby enclose Cheque Cash for amount of RM..............................Made payable to "Persatuan Penduduk D'Anjung Teluk Pula Klang" being the purchase of wave Access Card. Name: (.) IC NO: (.) Date: (//12.) Approved by . Date:/./12..

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