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Permanent resident of Malaysia
Citizen of Malaysia
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Army
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Birth Certificate Of Malaysia
Temporary Identification Receipt
Non Malaysian Resident
MyKAS
Identity Card No.
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Name
* Please ensure name filled same as the name shown on your Identification Card
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MALE
FEMALE
Date of Birth
Agent
Place of Birth
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Address 2
Address 3
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State
JOHOR
KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
PAHANG
P PINANG
PERAK
PERLIS
SELANGOR
TERENGGANU
SABAH
SARAWAK
W PERSEKUTUAN
W.P.LABUAN
SELANGOR DARUL EHSAN
W. PERSEKUTUAN(KL)
PULAU PINANG
W.PERSEKUTUAN(LABUAN)
KUALA TERENGGANU
PUTRAJAYA
W.PERSEKUTUAN(PUTRAJAYA)
City
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E-mail
Mengikut Akta Perlindungan Data Peribadi 2010 (PDPA) Saya setuju memberi maklumat individu kepada untuk tujuan proses kursus lesen memandu mengikut keperluan Jabatan Pengangkutan Jalan Malaysia sahaja.
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