LAMPIRAN 1PENGESAHAN KETUA KAMPUNG/KETUA ANAK
NEGERI/PENGHULU/WAKIL RAKYAT/PENGERUSI JAWATANKUASA KAWALAN DAN
KESELAMATAN KAMPUNG (JKKK)/KETUA BALAI POLIS DAERAH/NEGERI ASAL
Saya
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No. KP :
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..........................................................................................................................................................
( Jawatan )
mengesahkan bahawa
......................................................................................................................
( Nama Pegawai )
telah balik ke kampung asalnya di
...................................................................................................
..........................................................................................................................................................
( Alamat Tempat/Destinasi )pada
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Cop Jawatan :
Tarikh : ......................................
ERNY SHARYANY BINTI YAHYA
KAMPUNG TANJUNG BUNDONG,
96500 BINTANGOR, SARAWAK.
