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PENDAFTARAN TAKLIMAT KEMPEN SANITASI DAN DISINFEKSI DI KEMUDAHAN AWAM DAN PREMIS AKSES AWAM SECARA KENDIRI PERINGKAT MPSPK
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1. Nama Peserta
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2. No Kad Pengenalan
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3. Alamat e-mel
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4. No. Telefon :
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5. Alamat Premis
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Jenis Premis
Pejabat Kerajaan
Pasaraya/Kedai Runcit/Kedai Serbaneka
Bank/Kiosk ATM/Agensi Kewangan
Perkhidmatan Penghantaran
Premis / Kiosk Perkhidmatan Kemudahan Awam
Stesen Minyak dan Kedai Serbaneka
Lain-lain Premis Perkhidmatan
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