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[ MPAJ 04/7/4-1/2012 ]

Unit 2-01, Blok E, Apartment Residensi Bistaria, Jalan Ukay Bistari, 68000 Ampang, Selangor D.E.
Tel: 03-4161 7724 | Email: rbjmb.akaun@gmail.com

VISITOR PERMIT
UNIT NO:

FULL NAME :
IDENTITY CARD:
PHONE NO :
PLAT NO/MODEL
PURPOSE :
DATE IN :
DATE OUT :

Applicant Signature : Name:


Date:

Approved by Management Office


Signature : Name:
Date:

NOTE :
*PLEASE DISPLAY THIS PERMIT ON THE DASHBOARD.
*THIS PERMIT IS VALID MAXIMUM 3 DAYS PER APPLICATION.
*CLAMPING ACTION WILL BE TAKEN FOR NOT DISPLAY PERMIT
OR EXPIRED PERMIT.

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