Trace Vultron Bicycle
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Nombor Basikal/Bicycle No. : *
No. Aset/ Aset No. : *
Lokasi Basikal/Location :
Nama Pengguna/Name :
No Matrik/ No. Kad Pengenalan / Matric No. / I.D No :
Tujuan Pengunaan / Application For :
Tarikh Pengunaan / Date :
MM
/
DD
/
YYYY
Tempoh penggunaan/ Duration of use :
Kerosakan Jika ada/ If bicycle have problem:
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