JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bincang Niaga Year End 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama Syarikat
*
Your answer
No. Pendaftaran Syarikat
*
Your answer
Alamat Syarikat
*
Your answer
Nama untuk dihubungi
*
Your answer
No. Telefon (Pejabat)
*
Your answer
No. Telefon (Bimbit)
Your answer
Jenis Perniagaan
*
Kosmetik
Makanan dan minuman
Agensi Pelancongan & Umrah
Perkhidmatan
Fesyen
Peralatan Rumah
Makanan tambahan
Institusi agama
Lain-lain
Required
Sila nyatakan Jenis Perniagaan (selain dari pilihan di atas)
Your answer
Pernah Iklan di mana-mana Platform Media TV atau Radio?
*
Ya (Sila Nyatakan dibawah)
Tiada
Required
Jika Ya, Sila nyatakan.
Your answer
Sila nyatakan nama agensi
Your answer
Media Strategist TV Alhijrah (sila pilih satu)
TV Alhijrah
Radio
Internet / website
Rakan
Fb Ads
Media Sosial TV Alhijrah
Lain-lain
Clear selection
Media Strategist TV Al Hijrah (sila pilih satu)
*
Nora Zainal (012-2710453)
Fitri Musa (012-3427999)
Akmarissa (012-3561212)
Khairul Manaf (013-6646464)
Muna (010-5665797)
Zakwan (013-5035073)
Faez (012-2140076)
Saya dengan ini mengakui bahawa maklumat yang diberikan dalam borang nyata ini adalah benar, betul dan lengkap.
*
Ya
Tidak
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
