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Borang berkelompok klpm mataayer
1.
(SLPM MATAAYER) PENDAFTARAN PENGENDALI
MAKANAN TarikhKursus :_(Di Isi Olehpihak kami)______ TempatKursus :___Di Isi Olehpihak kami)____ NamaTenagaPengajar : Asst. Prof. Dr. NorazlanshahHazali No. SiriSijilTenagaPengajar : B/0072/10 MasaKursus :___Di Isi Olehpihak kami)____ Butiranpeserta( berkumpulan / syarikat) Namasyarikat : Alamatsyarikat : Bil. 1. 2. 3. Nama No. KadPengenal an/ Pasport Warganegara No. Telefon AlamatSuratMenyu rat Tarafpendidi kan * Kod Premis T/tgn
2.
4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.
3.
15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.
4.
26. 27. 28. 29. 30. **BagiruanganKodPremis, silagunakankodpremissepertiberikut : Kod JenisPremis Kod JenisPremis Kod JenisPremis 1 KilangMakanan/Minuman 7 KantinSekolah 13 Geraimakanan/minuman 2 Hotel/Resort 8 KantinAsrama 14 Penjajamakanan/minuman 3 Restoran/KedaiMakan/
Kafeteria 9 Kantin IPTA/IPTS 15 PasarMalam 4 5 Medan Selera Pasaraya 10 11 KantinKilang/ Pejabat PusatJagaan/Tadika 16 17 Dapur hospital PLKN 6 Bakeri/Kedai roti/kek 12 Katering 18 Lain-lain (nyatakan)
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