Form B

REGISTRATION OF CHANGES OF BUSINESS

PARTICULARS - PORTAL Reference No:
REGISTRATION OF BUSINESSES RULES 1957 (RULE 6) EB-B2021083100330

BUSINESS REGISTRATION NUMBER 003309963 - P

BUSINESS NAME AZ SETIA VENTURE

CHANGES OF PRINCIPAL BUSINESS ADDRESS

-No Changes-

CHANGES IN TYPE OF BUSINESS (Specify type of business carried out)

-No Changes-
 Form B
REGISTRATION OF CHANGES OF BUSINESS
PARTICULARS - PORTAL Reference No:
REGISTRATION OF BUSINESSES RULES 1957 (RULE 6) EB-B2021083100330

CHANGES OF PARTICULARS ON BRANCHES

-No Changes-
 Form B
REGISTRATION OF CHANGES OF BUSINESS
PARTICULARS - PORTAL Reference No:
REGISTRATION OF BUSINESSES RULES 1957 (RULE 6) EB-B2021083100330

CHANGES OF INFORMATION OF OWNER

1.*NAME OF OWNER NOR AIMAN HAKIM BIN ZULKIFLI

2. *DATE OF BIRTH 27/11/1998
(dd/mm/yyyy)
3. *NATIONALITY MAL
IF PERMANENT RESIDENT, STATE
COUNTRY OF ORIGIN
4. *PERSONAL OLD 5.*COLOUR BLUE
IDENTIFICATION
NO
MYKAD 981127106445
MYPR

PASSPORT

POLICE

ARMY

6.*SEX Male
7.*RACE MELAYU
8.*RESIDENTIAL ADDRESS NO 13 JLN PMSJ 4
TAMAN PERUMAHAN MAKMUR SETIA JAYA
28000 TEMERLOH PAHANG
9.*TOWN TEMERLOH

10.*POSTCODE 28000

11.*STATE PAHANG

12.TELEPHONE 0179883824 FAX

13.E-MAIL noraimanhakim116@gmail.com
14.*AMMENDMENT DATE NIL
15.*AMMENDMENT TYPE NO CHANGES
 Form B
REGISTRATION OF CHANGES OF BUSINESS
PARTICULARS - PORTAL Reference No:
REGISTRATION OF BUSINESSES RULES 1957 (RULE 6) EB-B2021083100330

1.*NAME OF OWNER ABDULLAH ZAKI BIN FADZIL

2. *DATE OF BIRTH 14/06/1983
(dd/mm/yyyy)
3. *NATIONALITY MAL
IF PERMANENT RESIDENT, STATE
COUNTRY OF ORIGIN
4. *PERSONAL OLD 5.*COLOUR BLUE
IDENTIFICATION
NO
MYKAD 830614065195
MYPR

PASSPORT

POLICE

ARMY

6.*SEX Male
7.*RACE MELAYU
8.*RESIDENTIAL ADDRESS NO 7 JALAN SJ 5/6
TAMAN SETIA JASA

9.*TOWN TEMERLOH

10.*POSTCODE 28000

11.*STATE PAHANG

12.TELEPHONE 01110260109 FAX 01110260109

13.E-MAIL zaximia@gmail.com
14.*AMMENDMENT DATE 31/08/2021
15.*AMMENDMENT TYPE PULL-OUT
 Form B
REGISTRATION OF CHANGES OF BUSINESS
PARTICULARS - PORTAL Reference No:
REGISTRATION OF BUSINESSES RULES 1957 (RULE 6) EB-B2021083100330

VERIFICATION BY OWNER/PARTNER(S) (* Mandatory field)

I/We confirm the accuracy of all the statements made in the form lodged persuant to the Rules and section 22A of the
Registration of Businesses Act 1956 and declare that I/We am/are the owner/partner(s) of the business the name of
which is

AZ SETIA VENTURE

* NAME NOR AIMAN HAKIM BIN ZULKIFLI

* PERSONAL IDENTIFICATION NO. 981127106445 * COLOUR BLUE

* ADDRESS NO 13 JLN PMSJ 4

TAMAN PERUMAHAN MAKMUR SETIA JAYA
28000 TEMERLOH PAHANG
TOWN TEMERLOH

POSTCODE 28000

STATE PAHANG

* E-MAIL noraimanhakim116@gmail.com
* TELEPHONE 0179883824
FAX
 Form B
REGISTRATION OF CHANGES OF BUSINESS
PARTICULARS - PORTAL Reference No:
REGISTRATION OF BUSINESSES RULES 1957 (RULE 6) EB-B2021083100330

VERIFICATION BY OWNER/PARTNER(S)

NO NAME IDENTITY CARD NO COLOUR SIGNATURE

1 NOR AIMAN HAKIM BIN ZULKIFLI 981127106445 BLUE VERIFIED

2 ABDULLAH ZAKI BIN FADZIL 830614065195 BLUE VERIFIED