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Borang Pendaftaran

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Please click here to know about the business opportunities offered by PUNB.
  SCHEME
Package :
 
  PERSONAL DETAIL
Salutation :
Name :
  (Abdul Rahman) (bin Abdul Khalid)
New IC : - -
Old IC :
Other IC :
Date of Birth : (YYYY)
  (To apply, you must be 18 years and above in age)
 
Gender :
Religion :
Race :
Other Races :
Marital Status :
Academic Qualification :
You Are :
Job Status :
 
  CONTACT DETAIL
Mailing Address :
  (No. 12, Jalan Seri Maharajalela Shahputra)
  
  (Taman Mutiara, Seksyen 1)
  
  (Bandar Kinrara)
Postcode :
City :
State :
District :
Permanent Address :
  (8-1A, Jalan Flora 3, Saujana Prima)
  
  (Taman Saujana Prima Utama)
  
  (Kawasan Perumahan Indah)
Poscode :
City :
State :
District :
Contact No.
 
House Phone : -
Mobile Phone : -
Office Phone : -
Fax : -
Email :
Re-enter Email :
(Re-enter your email address in the above field )
 
  PROPOSAL DETAIL
Project Type, please specify (example : Book Shop, Clinic , Rice Factory, Textile Wholesaler, etc)
  :
Category :
Identified Premise/Shop/Business Area : Yes NO
Project Location :
State :
Project Cost (estimate) : RM (RM500,000)
Business Experience : Yes No
How do you know about PROSPER
:
Others :
  ACKNOWLEDGEMENT

1. I certify that all the information given are correct.

2. I authorise PUNB to seek verification from any financial institutions or Government agencies.

I accept the above term 1 & 2.
 
 
 

 

 

 

 

 
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