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MASJID TUANKU MIZAN ZAINAL ABIDIN JABATAN KEMAJUAN ISLAM MALAYSIA
PRESINT 3,63500 PUTRAJAYA Tel :03-8880 4300 Fax : 03-8890 1614
LAMAN WEB : www.masjidtuankumizan.gov.my EMEL : [email protected]
BORANG PENDAFTARAN
PROGRAM/KURSUS/SEMINAR : KURSUS PENGURUSAN JENAZAH SIRI 2
TARIKH : 26 -27 OKTOBER 2013 (SABTU – AHAD)
MASA : 8.00 PAGI – 5.00 PETANG
Nama
No.Kad Pengenalan
Alamat/Jabatan/Agensi : ______________________________________________________
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No. Tel : _____________________(P) ____________________(H/P)
E-mail : ______________________________________________________
Tandatangan Tarikh :
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