TARIKH :

RUJUKAN : PAJAK LORI / 2023

NO KENDERAAN : JLY8632

MODEL: HINO

MAKLUMAT PENYEWA

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ALAMAT PEJABAT :

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RUJUKAN PEMAJAK

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AKUAN PIHAK PEMAJAK

SAYA.............................................................NO KAD PENGENALAN.................................................

TELAH MEMBACA DAN MEMAHAMI SYARAT SURAT PERJANJIAN PEMAJAK LORI YG BERNOMBOR PENDAFTARAN JLY8632 DAN BERJANJI MEMATUHI KESEMUA SYARAT-SYARAT YANG TELAH DI TETAPKAN INI.SEKIRANYA SALAH SATU SYARAT DI ATAS GAGAL SAYA PENUHI,TINDAKAN UNDANG-UNDANG BERHAK DIKENAKAN KE ATAS SAYA.

PEMAJAK SAKSI OWNER

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