002739130-X Borang A PDF
002739130-X Borang A PDF
002739130-X Borang A PDF
(* Mandatory Field)
POSTCODE 31100
STATE PERAK
6. E-MAIL aswan_7915@yahoo.com.my
POSTCODE 31100
STATE PERAK
Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2017110600561
* NO OF BRANCHES 0
BUSINESS DESCRIPTION
PASSPORT
POLICE
ARMY
6.*SEX Female
7.*RACE MELAYU
8.*RESIDENTIAL ADDRESS NO 651,
LALUAN KLEDANG 2 D
TAMAN KLEDANG
9.*TOWN SUNGAI SIPUT (U)
10.*POSTCODE 31100
11.*STATE PERAK
13.E-MAIL aswan_7915@yahoo.com.my
14.*OWNERSHIP SOLE PROPRIETORSHIP
SUBMISSION DATE 06/11/2017
(dd/mm/yyyy)
Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2017110600561
I/We confirm the accuracy of all the statements made in the form and declare that I/We am/are the owner/partner(s) of
the business the name of which is
NORAZURA BINTI MOKHTAR
* ADDRESS NO 651,
LALUAN KLEDANG 2 D
TAMAN KLEDANG
TOWN SUNGAI SIPUT (U)
POSTCODE 31100
STATE PERAK
* E-MAIL aswan_7915@yahoo.com.my
* TELEPHONE 01137676443
FAX
Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2017110600561
VERIFICATION BY OWNER/PARTNER(S)