Section 195

Felda Palong 8

PPBM 0229/08

No. 035, Blok 2, Felda

Palong 8, 73430 Bandar

Pusat Palong,

Negeri Sembilan 16.6.2008

P.U. (B) 599 23

Bil./

Nama Pertubuhan

Berdaftar/

Name of Registered

Youth Societies

No. Sijil

Pendaftaran/

Certificate of

Registration No.

Alamat/

Address

Tarikh

Pendaftaran/

Date of