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Employer Registration
Employer Registration
Name
MyKad / NRIC No.
Preferred Username
Gender
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Nationality
Date of Birth
Age
Religion
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MUSLIM
NON MUSLIM
Race
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MALAY
CHINESE
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OTHER
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SINGLE
MARRIED
DIVORCE
Email
Home Address
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JOHOR
KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
PAHANG
PERAK
PERLIS
PULAU PINANG
SABAH
SARAWAK
SELANGOR
TERENGGANU
WP KUALA LUMPUR
WP LABUAN
WP PUTRAJAYA
City
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Postcode
Home Telephone No.
Mobile No.
Declaration
I do further certify that the above deposition is full, complete and true record of all the testimony given by the said witness.
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