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Raan Bahan & Sumber Mineral, Kampus Kejuruteraan, Universiti Sains Malaysia 14300, Nibong Tebal Pulau Pinang GAMBAR / PHOTO Telefon : 04 5946153 sambungan 3407 Faks : 04 5941011 Emel : alumnippkbsm eng.usm.my A. DATA PERIBADI / PERSONAL INFO Nama / Name : No. MyKad / MyKad No. : No. Pasport / Passport No. : Alamat Tetap/ Permanent Address : Jantina / Gender : Status : Bujang / Single Berkahwin / Married Poskod / Postcode : Tarikh Lahir / Date of Birth : Emel / Email : No. Tel (.

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