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KARNIVAL SCIENCE 4U
Nama Pemohon/Perniagaan: ______________________________________________________________
Alamat Pemohon/Perniagaan: _____________________________________________________________
_______________________________________________________________________________________
Poskod: _____________ Daerah: _________________________ Negeri: ________________________
Jenis makanan yang ingin dijual: [contoh: makanan ringan, kuih muih, buah-buahan dll]
1) ______________________________________________________
2) ______________________________________________________
3) ______________________________________________________
4) ______________________________________________________
5) ______________________________________________________
No. Tel. Pemohon/Syarikat: _________________________________
Wakil yang boleh dihubungi:
1. (H/p) __________________________________
2. (H/p) __________________________________
______________________________________________
Nama:
Jawatan:
Tarikh:
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UNTUK KEGUNAAN PIHAK PENGANJUR
Penerimaan Bayaran Sewa Tapak: [Terima/BelumTerima]
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Catatan Lain: ____________________________________________________________
Pengesahan oleh:
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(
Tarikh: _______________________
)