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CONTOH SURAT AKUAN BERKANUN Statutory Declaration should be typed using Company letterhead STATUTORY DECLARATION I name of applicant NRIC No That I am position in Company in Company name and address and am duly authorised to affirm this declaration on behalf of the Company I make this declaration in full knowledge and awareness of Terengganu Chinese Chamber of Commerce and Industry reliance on this declaration as an inducement or basis to endorse /certify on document s presented by our Company I undertake and agree to fully indemnify the Terengganu Chinese Chamber of Commerce and Industry in full form and against all consequences liabilities actions suits proceedings damages costs claims demands expenses or losses whatsoever which may be taken or made against Terengganu Chinese Chamber of Commerce and Industry or incurred or become payable by out of it issuing endorsing or certifying the aforesaid documents I am fully aware that It is a criminal offence to induce Terengganu Chinese Chamber of Commerce and Industry to endorse on our documents on the basis of a false declaration I am also aware that the penal consequences for a false declaration in respect of the above may include a imprisonment for a term not exceeding three 3 years and shall also be liable to a fine pursuant to Section 193 of the Penal Code read together with Section 199 or 200 of the Penal Code or whipping and shall also be liable to a fine pursuant to Section 420 of the Penal Code or c fine not exceeding RM 500 000. 00 Five Hundred Thousand Ringgit or to imprisonment for a term not exceeding five 5 years or to both under Section 133 of Customs Act 1967. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declaration Act 1960. 00 Five Hundred Thousand Ringgit or to imprisonment for a term not exceeding five 5 years or to both under Section 133 of Customs Act 1967. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declaration Act 1960. Subscribed and solemnly declared by the above named at in the state of on this day of 20 Before me COMMISSIONER FOR OATHS Signature of applicant Director/Proprietor/Partner. 00 Five Hundred Thousand Ringgit or to imprisonment for a term not exceeding five 5 years or to both under Section 133 of Customs Act 1967. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declaration Act 1960. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declaration Act 1960. Subscribed and solemnly declared by the above named at in the state of on this day of 20 Before me COMMISSIONER FOR OATHS Signature of applicant Director/Proprietor/Partner. 00 Five Hundred Thousand Ringgit or to imprisonment for a term not exceeding five 5 years or to both under Section 133 of Customs Act 1967. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declaration Act 1960. Subscribed and solemnly declared by the above named at in the state of on this day of 20 Before me COMMISSIONER FOR OATHS Signature of applicant Director/Proprietor/Partner.

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