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E-form

Name

Nama

Phone number

Nombor Telefon

Email Address

Emel

Are you able to join us on 23 March 2024? Kindly RSVP now.

Venue: Royal Chulan Damansara
Date: 23 March 2024
Time: 6:30PM - 10:00PM

Adakah anda boleh menyertai kami pada 23 Mac 2024? Sila RSVP sekarang.

Tempat: Royal Chulan Damansara
Tarikh: 23 Mac 2024
Masa: 6:30 petang - 10:00 malam
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Petronas Dagangan Berhad requires you to provide your personal data for the purpose of promotion’s rebates fulfilment. By completing and submitting this form, you as participant agrees to:

Petronas Dagangan Berhad memerlukan anda memberikan data peribadi anda untuk tujuan pemenuhan rebat promosi. Dengan melengkapkan dan menyerahkan borang ini, anda sebagai peserta bersetuju untuk:

Please tick this box.

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Thank You

Your entry has been submitted!
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You can only submit one entry!

Resit Peraduan

Kod

AA001

Nama : 

xxx xxx xxx

No. Kad Pengenalan : 

xxxxxx-xx-xxxx

No Telefon : 

xxx-xxxxxxx

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