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SURAT AKUAN TERIMA

Saya............................................................................................................. Pemengang Kad Pengenalan

Nombor ...................................................................... Mengaku telah menerima surat bil / no

rujukan .............................................................................................. bertarikh __________ pada hari

ini ...................................

Tandatangan

......................................................
( )

SAKSI

1. Tandatangan: ....................................................................

Nama : ................................................................................

Jawatan:.............................................................................

No Kad Pengenalan:.............................................................

SAKSI

2. Tandatangan:.........................................................................

Nama :....................................................................................

Jawatan:..................................................................................

No Kad Pengenalan:................................................................

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