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Akuan Terima Dana Kemasukan Wad
Dimohon jasa baik saudara/i atau tuan/puan untuk mengisi maklumat di bawah bagi tujuan dokumentasi dan urusan sewajarnya di Bahagian Urus Setia Kebajikan Pelajar UKMSHAPE
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Maklumat Pemohon
Nama Pemohon (HURUF BESAR)
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Your answer
No. Kad Pengenalan Pemohon (123456-12-1234)
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Your answer
Emel
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Your answer
Jumlah Sumbangan Yang Diterima
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Contoh : 250.00
Your answer
Jumlah Sumbangan Dalam Perkataan (HURUF BESAR)
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Contoh: DUA RATUS LIMA PULUH SAHAJA
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