Section 459

Cawangan Cheras,

Kuala Lumpur

0486/08

No.83, Jalan Pendita,

Taman Conought, 56000

Cheras, Kuala Lumpur 11.9.2008

P.U. (B) 599 47

Bil./

Nama Pertubuhan

Berdaftar/

Name of Registered

Youth Societies

No. Sijil

Pendaftaran/

Certificate of

Registration No.

Alamat/

Address

Tarikh

Pendaftaran/

Date of