Section 280

Gen II

PPBM 0311/08

No. 50, Kampung Baru,

Kuala Abang,

24030 Kemaman,

Terengganu 24.7.2008

P.U. (B) 599 31

Bil./

Nama Pertubuhan

Berdaftar/

Name of Registered

Youth Societies

No. Sijil

Pendaftaran/

Certificate of

Registration No.

Alamat/

Address

Tarikh

Pendaftaran/

Date of