Appplicant Name :
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Company Name :
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Gender :
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MyKad/Passport No : (Applicable to Individual adopters)
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Citizenship :
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Mailing Address :
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City :
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State :
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Country :
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Zip Code :
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Telephone :
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Fax :
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Email :
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No. of tree (For Individual Adopter and RM 3,000 per tree.)
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No. of Plot (For Corporate Adopter and RM 50,000 per plot.)
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Adoption Plot Number : (For Corporate Adopter only and available Plot for the adoption are 3,5,8,10-22, Please refer map below for adoption plot number. )
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Amount (RM)
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