RESPONSIBLE CITIZENSHIP CELEBRATION
13 JANUARY (Sunday) 9AM - 5:30PM, ROYALE CHULAN-THE CURVE, MUTIARA DAMANSARA, PETALING JAYA
I confirm my attendance for (Saya mengesahkan kehadiran saya untuk) *
Name of Residents Association (RA) or Rukun Tetangga (RT) (nama persatuan penduduk atau rukun tetangga)
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Position held in RA/RT (Jawatan)
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Name (Nama) *
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Address (Alamat)
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Hand Phone Contact (Talipon Bimbit) *
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E-Mail (e-mel)
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With regard to local council election, I have this question/comment for the panelist. (Please write down your question or comment below)
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I am involved with activism, community work, charity etc (Saya terlibat dengan aktivisme, kerja masyarakat, amal)
Please provide name of organisation and a short description of your work (Sila berikan nama organisasi dan huraian ringkas mengenai kerja anda)
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The local council in charge of my area is (Majlis tempatan yang menjaga kawasan saya adalah)
OTHER COMMENTS (komen lain)
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