P.U. (A) 430/96
REGISTRATION OF BUSINESS (AMENDMENT) RULES 1996
Rule 5. Amendment of rule 20 (d).
| 11. | TARIKH PERUBAHAN ALAMAT/ DATE OF CHANGE OF ADDRESS |

TANDATANGAN PEMILIK TUNGGAL ATAU SALAH SEORANG RAKAN KONGSI/
SIGNATURE OF SOLE OWNER OR ONE OF THE PARTNERS
TARIKH/ DATE

| 12. | PENGESAHAN OLEH SEKUTU-NIAGANERIFICATION BY ASSOCIATES |
Saya/Kami yang bertandatangan di bawah ini mengesahkan bahawa. segala kenyataan yang
I/W e the undersigned confirm the accuracy of all the statements
dibuat dalam borang ini adalah tepat.
made in the form.
Saya mengaku bahawa tandatangan/cap ibu jari kanan di atas
I certify that the signature(s)/right thumb print(s) above ................................................................
....................................................................................................................................................
telah diturunkan pada akuan di atas ini di hadapan saya setelah saya berpuashati
was/were affixed to the above declaration in my presence after I had satisfied myself.
bahawa orang yang menurunkan tandatangan/cap ibu jari kanan itu adalah
that the person(s) so affixing such signature(s) fright thumb print(s) was/were
sebenarnya orang yang namanya tersebut dalam akuan itu dan ialmereka faham maksud akuan itu.
in fact the person(s) named in such declaration and understood the purport of such declaration.
| Bertarikh di ................ | pada ....... | haribulan ................... | 19 ...... |
| Dated at | this | day of | 19 |
.........................................................................
(Tandatangan dan Cop Rasmi Pegawai Pengesah/
Signature and Official Stamp of Verifying Officer)
NAME / NAME :
| ________________________________________ |
JAWATAN / DESIGNATION:
| ________________________________________ |
| ALAMAT / ADDRESS: | ________________________________________
________________________________________
________________________________________ |
_________________________________________________________________________________
| CATATAN: | Pengesahan di at as hendaklah disaksikan oleh - Ahli Parlimen atau Ahli Dewan Undangan Negeri, Hakim, Majistret, Pegawai Kumpulan Pengurusan dan Profesional, Penguambela atau Peguamcara, Penghulu, Penggawa, Jaksa Pendamai (J.P.), atau Pesuruhjaya Sumpah. |
| NOTE: | The above verification must be witnessed by - Member of the House of Parliament or a State Executive Council, Judge, Magistrate, Management and Professional Group, Advocate or Solicitor, Penghulu, Penggawa Justice of Peace (J.P.), or Commissioner for Oaths. |
BORANG C/FORM C
KAEDAH-KAEDAH PENDAFTARAN PERNIAGAAN 1957
REGISTRATION OF BUSINESSES RULES 1957
(KAEDAH 7/RULE 7)
PEMBERITAHUAN PENAMATAN PERNIAGAAN BERDAFTAR
NOTIFICATION OF TERMINATION OF REGISTERED BUSINESS
| 1. | NO. PERAKUAN/ NO. OF CERTIFICATE |

| 2. | NAMA PERNIAGAAN/ BUSINESS NAME |


| 3. | TARIKH PERNIAGAAN DITAMATKAN/
DATE BUSINESS WAS TERMINATED |

| 4. | SEBAB-SEBAB PENAMATAN / REASON FOR TERMINATION |
 | BERHENTI BERNIAGA / STOP BUSINES |
|  |
 | BANKRAP / BANKRUPT |
|  |
 | PEMBUBURAN PERKONGSIAN / DISSOLUTION OF PARTNERS |
|  |
 | MENINGGAL DUNIA / DEATH |
|  |
 |
PERINTAH MAHKAMAH
ORDER OF COURT | - TARIKH
- DATE |  |
( SILA KEPILKAN SALINAN PERINTAH MAHKAMAH/ PLEASE ATTACH A COPY OF THE ORDER OF COURT) |
|  |
 | LAIN-LAIN (SILA NYATAKAN)/ OTHERS (PLEASE SPECIFY)
..................................................................................................................................
.................................................................................................................................. |
TARIKH / DATE

___________________________
TANDATANGAN PEMILIK TUNGGAL ATAU
SALAH SEORANG RAKAN KONGSI /
SIGNATURE OF SOLE OWNER
OR ONE OF THE PARTNERS
| 6. | PENGESAHAN OLEH SEKUTU-NIAGANERIFICATION BY ASSOCIATES |
Saya/Kami yang bertandatangan di bawah ini mengesahkan bahawa. segala kenyataan yang
I/W e the undersigned confirm the accuracy of all the statements
dibuat dalam borang ini adalah tepat.
made in the form.
NAMA/NAME | NO. KAD PENGENALAN / WARNA
IDENTITY CARD NO. / COLOUR | TANDATANGAN, CAP IBU JARI KANAN
SIGNATURE / RIGHT THUMB PRINT |
|  |  |
Saya mengaku bahawa tandatangan/cap ibu jari kanan di atas
I certify that the signature(s)/right thumb print(s) above ................................................................
....................................................................................................................................................
telah diturunkan pada akuan di atas ini di hadapan saya setelah saya berpuashati
was/were affixed to the above declaration in my presence after I had satisfied myself.
bahawa orang yang menurunkan tandatangan/cap ibu jari kanan itu adalah
that the person(s) so affixing such signature(s) fright thumb print(s) was/were
sebenarnya orang yang namanya tersebut dalam akuan itu dan ialmereka faham maksud akuan itu.
in fact the person(s) named in such declaration and understood the purport of such declaration.
| Bertarikh di ................ | pada ....... | haribulan ................... | 19 ...... |
| Dated at | this | day of | 19 |
.........................................................................
(Tandatangan dan Cop Rasmi Pegawai Pengesah/
Signature and Official Stamp of Verifying Officer)
NAME / NAME :
| ________________________________________ |
JAWATAN / DESIGNATION:
| ________________________________________ |
| ALAMAT / ADDRESS: | ________________________________________
________________________________________
________________________________________ |
_________________________________________________________________________________
| CATATAN: | Pengesahan di at as hendaklah disaksikan oleh - Ahli Parlimen atau Ahli Dewan Undangan Negeri, Hakim, Majistret, Pegawai Kumpulan Pengurusan dan Profesional, Penguambela atau Peguamcara, Penghulu, Penggawa, Jaksa Pendamai (J.P.), atau Pesuruhjaya Sumpah. |
| NOTE: | The above verification must be witnessed by - Member of the House of Parliament or a State Executive Council, Judge, Magistrate, Management and Professional Group, Advocate or Solicitor, Penghulu, Penggawa Justice of Peace (J.P.), or Commissioner for Oaths. |
Dibuat 14 Ogos 1996.
Made 14 August 1996.
[BR. 56/453-1; PN. (PU2) 253.]
DATO' HAJJ ABU HASSAN BIN HAJJ OMAR,
Menteri Perdagangan Dalam Negeri
dan Hal Ehwal Pengguna/
Minister of Domestic Trade and Consumer Affairs
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