Maklumat Rakan PPTI Yang Menghadapi Musibah Banjir
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NAMA: *
ID *
PUSAT TANGGUNGJAWAB (PTJ): *
ALAMAT RUMAH STAF (yang terjejas disebabkan banjir samada rumah sendiri atau menyewa) *
DAERAH *
NO. UNTUK DIHUBUNGI *
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