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PENGURUSAN PUSAT TASKA NEGERI JOHOR
Utama
Hubungi
PRE REGISTRATION FORM
Student Information
Application For School *
For Intake Year*
2025
2026
2027
2028
Student Name*
Citizen
Foreigner
IC No
Birth Cert. No*
Gender*
- Gender -
Female
Male
Race / Religion*
- Race -
Melayu
Cina
India
Indonesia
Sudanese
Lain-Lain
Islam
Tel. Mobile *(Main Contact)
Email *(Main Contact)
Home Address*
City*
Postcode*
State*
- State -
Johor
Kedah
Kelantan
Kuala Lumpur
Labuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Putrajaya
Sabah
Sarawak
Selangor
Terengganu
Father Name
HP (Father)
Email (Father)
Mother Name
HP (Mother)
Email (Mother)
Confirmation
Confirmation
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