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Butiran Ahli Panel
Borang Pendaftaran Ahli Panel Merdeka Center
Dengan mengisi borang isi anda bersetuju untuk dihubungi oleh pihak kami menerusi WhatsApp. 
Terima kasih.
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4 Digit Akhir No MyKad (akan dijadikan unik ID):

Last 4 Digit of MyKad No(will be unique ID):

身份证最后四个号码：

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Nama Penuh/ Full Name/ 全名:

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Alamat Tempat Tinggal Semasa (Lokaliti)
Current Adress (Locality):
目前居住地址（地区）:

Pelajar - alamat penjaga/kampung/ic
contoh: 901A Kompleks Diamond, 43500 Bangi, Selangor
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Nombor telefon/ Phone’s Numbers电话号码: {WhatsApp)

(contoh: 60126239316)

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Emel/ Emails/  电子邮件:
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