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R 5 / / 8 NOMBOR KAD PINTAR 9 NAMA DALAM PASSPORT TARIKH DIKELUARKAN 7b BANGSA 6 TEMPAT 7c LAHIR UGAMA TARIKH MASUK KE NEGARA BRUNEI / DARUSSALAM (Jika lahir di luar negeri) WARNA TARIKH DIKELUARKAN / / / TEMPAT DIKELUARKAN Jati Mutlak Undang-Undang Berdaftar Penaungan TARIKH MANSUH / / 11 TARAF KELAMIN (Sila tanda x di petak yang disediakan) Bujang Kawin Duda Janda KERAMAIAN ANAK (Jika Kahwin) 12 SENARAI INSTITUSI TEMPAT BELAJAR DALAM DAN LUAR NEGERI MULAI P.
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