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    15 views1 page

    Borang Selenggara Data Kelahiran JPN

    Uploaded by

    aan lynn

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    BORANG SELENGGARA DATA

    JABATAN PENDAFTARAN NEGARA, NEGERI SABAH

    NAMA PEMOHON
    JPN / BAHAGIAN
    MAKLUMAT REKOD
    NAMA PEMILIK
    NO. KP / SIJIL
    KELAHIRAN PEMILIK
    NAMA BAPA
    NAMA IBU
    SEKSYEN 10
    MAKLUMAT SELENGGARA
    MAKLUMAT ASAL MAKLUMAT SELENGGARA
    AGAMA
    NASAB
    LAIN-LAIN
    ULASAN DAN SYOR KETUA BAHAGIAN :

    …………………………………………………………………………………………………………

    …………………………………………………………………………………………………………

    …………………………………………………………………………………………………………

    …………………………………………………………………………………………………………

    SYOR :
    i. SELENGGARA
    A1050 A2050 A3050 A4050 A5050

    ii. PERMOHONAN PINDAAN


    30(2) 30(3)

    NAMA :
    TARIKH :
    KEPUTUSAN : PENGARAH :

    SELENGGARA PINDAAN ………………………………………


    TARIKH :
    PEGAWAI
    SELENGGARA

    PEGAWAI PENGESAH

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