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DECLARATION/PENGAKUAN

I have read and understood this declaration as above and hereby give my consent to MMASB. (Please select) Agree / Setuju
Saya telah membaca dan memahami pengisytiharan ini seperti di atas dan dengan ini memberi persetujuan saya kepada MMASB.

Applicants Name / Nama Pemohon MUHAMMAD FIRDAUS ALIF BIN KHAIROL SALIH

Identity Card/ International Passport Number 991118-04-5299


No Kad Pengenalan/ Passport No.

Mobile No / Telefon Bimbit 013-5275482

Email Address / Alamat Email kfirausalif@gmail.com

Date / Tarikh 24 MAC 2017


Agree / Setuju

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