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ENGENAI KEROSAKAN a) Kerosakan premis Bil. b) Perkara Anggaran Nilai Kerosakan (RM) Kerosakan mesin dan peralatan Bil. Perkara Anggaran Nilai Kerosakan (RM) Nota: Sila gunakan kertas tambahan jika ruang yang disediakan tidak mencukupi BAHAGIAN C : PENGAKUAN BAHAGIAN INI HENDAKLAH DIISI OLEH SYARIKAT Saya dengan ini mengaku bahawa sepanjang pengetahuan dan kepercayaan saya, semua butir-butir di dalam borang ini dan dokumen sokongan yang disertakan adalah betul dan benar. Nama Pengarah Ur.

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