Anda di halaman 1dari 1

LAMPIRAN

AKUAN TERIMA

Saya .............................................................................................................................

pemegang kad pengenalan nombor .................................................... mengaku telah

menerima surat bil ........................................................... bertarikh ...................................

pada hari ini ...........................................................

..............................................................
Tandatangan

Saksi

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

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

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

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

Alamat : ..............................................................

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

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

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

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

Alamat : ..............................................................

Anda mungkin juga menyukai