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Borang Daftar Keahlian Shaklee
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Nama Penuh
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Nombor KP
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Jantina
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Lelaki
Wanita
Tarikh Lahir
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MM
/
DD
/
YYYY
Alamat Surat Menyurat
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Nombor Telefon Bimbit
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Alamat Email
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Nombor Akaun Bank Untuk Pembayaran Bonus
Contoh: 1234567890 (Maybank)
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Nama Pasangan
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Nombor KP Pasangan
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