BORANG PERMOHONAN KEMASUKAN PELAJAR KE PUSAT LATIHAN TEKNOLOGI TINGGI (ADTEC) TAIPING
A. MAKLUMAT PERIBADI
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1. Nama: *
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2. No. Kad Pengenalan: (Cth:900602087321) *
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3. Umur: *
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4. Agama: *
5. Tempat Lahir: *
6. Taraf Perkahwinan: *
7. Jantina: *
8. Bangsa: *
9. Warganegara: *
10. No. Telefon Rumah: (Cth:058981234)
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11. No. Telefon Bimbit: (Cth:0173297821) *
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12. Alamat Tetap / Surat Menyurat: *
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Bandar: *
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Poskod: *
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Negeri: *
13. Emel: *
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