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)
Position held in RA/RT (Jawatan)
Name (Nama) *
Address (Alamat)
Hand Phone Contact (Talipon Bimbit) *
E-Mail (e-mel)
With regard to local council election, I have this question/comment for the panelist. (Please write down your question or comment below)
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)
The local council in charge of my area is (Majlis tempatan yang menjaga kawasan saya adalah)
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OTHER COMMENTS (komen lain)
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