Seksyen 527
Universal Laser Star Home
of Pemberitahuan Pelucuthakan Deposit
P.U. (B)In forceProvision 527 of 600
Seksyen 527
EV 05/00419 012108 1,000.00
No. 8A, Jalan SS 12/1B
Subang Jaya
47500 Petaling Jaya
P.U. (B) 123 69
Bil./
(1)
Nama Pemegang Lesen/
Name of Licence Holder
(2)
No. Lesen/
Licence No.
(3)
No. Resit/
Receipt No.
(4)
Amaun/