JPJK19 - Permohonan Menggunakan Semula Nombor Pendaftaran Yang Rosak, Binasa Atau Keluar Malaysia Selama-lamanya

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JPJK19 - Permohonan Menggunakan Semula Nombor Pendaftaran Yang Rosak, Binasa Atau Keluar Malaysia Selama-lamanya
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  @BPAMK XCPJBDBMAM JCMKKSMAIAM WCJSNA MBJ@BP XCMFAEVAPAM ICMFCPAAM \AMK VCNAD PBWAI, @LMAWA AVAS FLDAMVAP ICNSAP FAPL JANA\WLA SMVSI WCNAJA-NAJAM\A (OXO I1<) WLNA KSMAIAM DSPSE @CWAP WADAOA.@BPAMK LML DCMFAINAD FLLWL FANAJ WAVS (1) WANLMAM WADAOA 1.Mb. Xcmfaetaram?0.Wc`a`Xcrjbdbmam?Pbsai G. @SVLP-@SVLP XCJSM\A @CPFAEVAPF. XCMKAISAM XCJSM\A @CPFAEVAP 1.Waya, (maja ) ………………………………………………………………………………………………….……………….. Mb. *I.X (*Awaj / Xbnls / Vcmtcra) / Xaspbrt ? ……………………………………………………….. afanad * pcjumya`crfaetar/ bramk yamk jcjpumyal iuasa fanaj *Wyarliat / Xcrmlakaam/ Xcrtu`udam/ Akcmsl Icraoaam `akl icmfcraam yamk `crmbj`brpcmfaetaram  ……………………………………………………………. Smtui jcj`uat pcrjbdbmamlml. * Xbtbmkjamayamk tlfai `cricmaamY Wcisycm11(1)(1A) Aita Xcmkamkiutam Oanam 1<4; (Xlmfaam) 0818 Z A. @SVLP-@SVLP ICMFCPAAM Y Vamfaiam(T) fanaj pctaiyamk `cricmaamZ@lmasaFldamtaricnuarfarlJanaysla umtui scnaja-najamya1.Maja?0.IatckbrlXcjlnli*?Lmflvlfu/ Wyarliat / Xcrmlakaam/Xcrtu`udam/ Akcmsl Icraoaam7.Mb. *I.X (Awaj / Xbnls / Vcmtcra) / Xaspbrt/ Wyarliat / Xcrmlakaam/ Xcrtu`udam/ Akcmsl Icraoaam? G. XCKCWADAM XCMCPLJAAM FBISJCM 6.Anajat?3.Mb. Vcncebm?0.Wayajcmkaiufamjcmkcsadiam`adawa`utlramyamksayamyataiamfanaj@adaklamAfam@pafa`bramklmlafanad`cmarfamtlfaijcmkamfumkljainujatyamkpansu,tlfai`ctunataujcmkcnlruiam.  (OXO I1<) * Xbtbmkjamayamk tlfai `cricmaam 7.Wayaouka`crscflaumtuijcj`ataniampcmfaetaram`aklicmfcraammbj`brpcmfaetaram  ……………………………… 6.Wayaoukaeadajfamscfar`adawajcj`crliamjainujatyamksc`adaklamatauicscnurudammyatlfai`cmar,pansuataujcmkcnlruiamafanadsuatuicsanadamfl`awad Wcisycm184(7)AitaXcmkamkiutamOanam1<4;(Xlmfaam)0818 yamk`bncdjcj`awaicpafaduiujamfcmfatlfaiiuramkfarlpafaPJ3,888.88famtlfaijcnc`ldlPJ08,888.88ataupcmoarascnajatcjpbdtlfaiiuramkfarlpafasatutadumfamtlfaijcnc`ldlnljatadumatauicfua-fuamya.Varlid?  ……………………………… Vamfatamkam?  ………… .. ………………………………………………………………………………...……………… Gap oarliamampcjumya`crfaetaricmfcraam /Bramk yamk fl`crl iuasa bncd syarliat/ pcrmlakaam/ Xcrtu`udam/ akcmsl icraoaam ……………………………………………...……………… Gbp Majafam Oawatam(oliapcjumya`crfaetar icmfcraam afanad syarliat/ pcrmlakaam/ pcrtu`udam/ akcmsl icraoaam. C. XCMKCWADAM L@S XCOA@AV OXO Wayajcmkcsadiamjainujatfl@adaklamA,@,GfamFafanad`cmarfamfljaouiamumtuitlmfaiamnamout.Varlid?  ……………………………… ………… .. ………………………………… (Vamfatamkamfam Gbp Pasjl)E. ICNSNSWAM Xcrjbdbmam FLNSNSWIAM/VLFAIFLNSNSWIAM ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… Varlid?  ……………………………… ………………… .. ………………………………… ( )XcmkaradXcncscmamIcmfcraamL`uXcoa`atOXO Janaysla
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