( UQR 10701 )
HANAFI BIN OMAR
NAMA JURULATIH/PENGAJAR : .............................................................................................
2024 2 3
SESI: ............................ SEM : ...................... SEKSYEN : ............................
MUHAMMAD NOR HARITH BIN MOHD NOR HASYIMI
1. NAMA PENUH : ……………………………………………………………………....................................
5. EMAIL nor.harith@icloud.com
: ......………………………………................. LELAKI
JANTINA : ………………….....................
MOHD NOR HASYIMI BIN ADAM 0193581550
6. NAMA WARIS : ... ................................................... NO. TEL WARIS: .....................................
NO. 1, JALAN DESA BESTARI 4, SALAK TINGGI, 43900 SEPANG,
7. ALAMAT WARIS : ........……………………....................…............................................................................................
SELANGOR.
.................................................................................................................................................................
-
8. PENYAKIT( JIKA ADA) : ........………..................................................................................................................................
9. - ...............................................................................................................
ALAHAN MAKANAN/UBAT ( JIKA ADA ) :.........