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MP
Umur :
MAJLIS PERBANDARAN KANGAR
MAKLUMAT PENGADU
1. MAKLUMAT PENGADU
a. Saluran
b. No.K/P
j. Tarikh
:
:
c. Nama
:
:
d. Alamat
:
e. Poskod
g. E-mail
h. Jantina
:
:
f. No. Tel
:
:
i. Bangsa
:
2. MAKLUMAT ADUAN
a. JENIS
KETERANGAN ADUAN :
MUKIM :
KAWASAN :
JALAN :
PENERIMA ADUAN :
STATUS ADUAN :
3. JABATAN BERTINDAK
JABATAN/BAHAGIAN/UNIT
:
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