Borang Pertanyaan Rujukan Baru

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PERPUSTAKAAN ANJUNG ILMU

IBU PEJABAT,
JABATAN BOMBA DAN PENYELAMAT MALAYSIA,
LEBUH WAWASAN, PRESINT 7,
62250 WILAYAH PERSEKUTUAN PUTRAJAYA

BORANG PERTANYAAN RUJUKAN

NAMA PEMOHON : ________________________________________________________

KEM / JAB / AGENSI : ________________________________________________________

BHGN / CAW. / UNIT : ________________________________________________________

ALAMAT : ________________________________________________________

________________________________________________________

NO. TELEFON : ______________________________ SAMB. : _________________

PERTANYAAN RUJUKAN : ________________________________________________________

________________________________________________________

________________________________________________________

UNTUK KEGUNAAN PEJABAT

PENERIMA : ______________________________________ TARIKH : __________________

RUJUKAN BAHAN : ______________________________________________________________

______________________________________________________________

TINDAKAN SUSULAN : ___________________________________________________________

___________________________________________________________

T/TANGAN _________________

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