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PRA-PENDAFTARAN AL-WASITAH (URUS PUSAKA PERCUMA)
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NAMA PENUH *
(Seperti dalam MYKAD)
NOMBOR KAD PENGENALAN *
ALAMAT RUMAH *
NOMBOR TELEFON *
ALAMAT EMAIL ANDA *
NAMA & NOMBOR AKAUN BANK *
(Contohnya : Maybank 123456789012)
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