JPJK7-1-2016 - Borang Permohonan Salinan - Gantian Sijil Pemilikan Kenderaan - LKM - Lesen Perdagangan Kenderaan Motor

(N\NO2/\h`c (N\NO2/\h`c 6/=<64) 6/=<64)

NFMFSF@ \G@BF@BOWSF@ NFEF@ KFEFXYHF MJ]F@B \G]KJAJ@F@ YFEH@F@ / BF@SHF@ YHNHE \GKHEHOF@ OG@CG]FF@ FSFW YFEH@F@ / BF@SHF@ EGYG@ OG@CG]FF@ KJSJ] FSFW YFEH@F@ EGYG@ \G]CFBF@BF@ OG@CG]FF@ KJSJ] _ Ofgcfa 6= cf` =3 Ofgcfa-ofgcfa Og`cgrff` Kjtjr (\g`cfdtfrf` cf` \gegsg`f`) 6878 [

YHEF BW@FOF@ AW]WD MGYF] YFAFNF

F.

NG@HY \G]KJAJ@F@

*Yfeh`f` *Yfeh`f` Yhnhe \gkhehof` \gkhehof` Og`cgrff` Og`cgrff`

*Bf`thf` *Bf`thf` Yhnhe \gkhehof` \gkhehof` Og`cgrff` Og`cgrff`

*Yfeh`f` *Yfeh`f` Egsg` Og`cgrff` Og`cgrff` Kjtjr 

*Bf`thf` *Bf`thf` Egsg` \grcfbf`bf` \grcfbf`bf` Og`cgrff` Og`cgrff` Kjtjr  (Sf`cfof` _Q[ cfefk pgtfo yf`b mgrog`ff`)

I.

M.

YGMFM \G]KJAJ@F@

Ahef`b

Igtfof Igtfof` ` \ucfr \ucfr / Ofmur Ofmur / Ogshefpf` Ogshefpf` Igtfof`

]jsfo

Dhzhofe Cjoukg` Shcfo Ygkpur`f

\h`cff` ]gojc Og`cgrff`

Chtfaf` Chtfaf` W`tuo W`tuo Yhfsftf Yhfsftf` `/ \gkmuothf` \gkmuothf` / Ahef`b Ahef`b Cfefk Yhkpf`f Yhkpf`f` ` Nfmftf`

(Sf`cfof` (Sf`cfof` _Q[ cfefk pgtfo yf`b mgrog`ff`) mgrog`ff`)

MWSH MWSH]]-MWS MWSH] H] \GKHE \GKHEHO HO MG]C MG]CF FDSF] DSF] OG@CG OG@CG]F ]FF@ F@

6.

@fkf>

=.

Oftgb Oftgbjr jrhh \gkh \gkheh eho o *> H`ch H`chvhc vhcu u / Fbg` Fbg`sh sh Ogr Ogrfn fnff ff` ` / Yyfr Yyfrho hoft ft / \gr \grtu tumu muaf af` `

9.

@j. O.\. O.\. (*Fwf (*Fwfk k / \jehs \jehs / Sg`tgr Sg`tgrf) f) / \fspjr \fspjrtt / Fbg`s Fbg`shh Ogrfnff Ogrfnff` ` / Yyfrhof Yyfrhoftt / \grtum \grtumuaf` uaf`

3.

@j. \g`c \g`cf fdtf dtfrf` Og Og`cgr cgrff` / @j. \eft \grcfbf`bf`>

7.

Muftf` cf` Kjcge> (chhsh nhof MWOF@ \eft \grcfbf`bf`)

C. \G@BGYFAF@ OGAFCH]F@ \GKHEHO MG]CFDSF] OG@CG]FF@

(N\NO2/\h`c (N\NO2/\h`c 6/=<64) 6/=<64)

G.

\G@BFOWF@ \GKJAJ@

6.

Yfyf (`fkf) ……………………………………….…………………………….. @j. *O.\ (*Fwfk / \jehs / Sg`tgrf) / \fspjrt …………………………………….……. fcfefa *pg *pgkh kheh eho o mgrc mgrcfd fdtf tfrr og`c og`cgr grff ff` ` / pgbf pgbfwf wfhh yf`b yf`b chm chmgr grhh oufs oufsf f cfefk cfefk *Fbg`s *Fbg`shh Ogrfnf Ogrfnff` f` / Yyfr Yyfrhof hoftt / \grtum \grtumuaf uaf` ` / *wfohe *wfohe ogpfcf ogpfcf pgkh pgkheho eho og`cgrf og`cgrff` f` mgrcfdt mgrcfdtfr fr / *ofoht *ofohtf`bf f`bf` ` N\N yf`b yf`b mgrtf`b mgrtf`bbu` bu`bnf bnfwfm wfm

mfbh mfbh

og`cgr og`cgrff` ff`

yf`b yf`b

mgr`jkm mgr`jkmjr  jr  pg`cfdtfrf`

…….............……………

u`tuo

kgkmuft

pgrkjaj`f` *sfeh`f` *sfeh`f` / *bf`thf` *bf`thf` Yhnhe \gkhehof` \gkhehof` Og`cgrff` Og`cgrff`.. ftfu =.

Yfyf (`fkf) ………………. ……………….……………………. …………………….……………. …………….………………. ……………….. @j. *O.\ (*Fwfk / \jehs / Sg`tgrf) / \fspjrt

……………………………..………………………. …………………………… ……………………….

mgrtf`bbu`bnfwfm

mfbh

og`cgrff`

yf`b

fcfefa

mgr`jkmjr

*pgkheho

pg`cfdtfrf`

mgrcfdtfr /

peft

/

*ofohtf`bf` pgrcfbf`bf`

N\N

yf`b

mgr`jkmjr  

……………………………… u`tu u`tuo o kgkmu gkmuft ft pgrk pgrkja jaj` j`f` f` *sfe *sfeh` h`f` f`/* /*bf bf`t `thf hf` ` *Egs *Egsg` g` Og`c Og`cgr grff ff` ` Kjtj Kjtjr  r  / Egsg` \grcfbf \grcfbf`bf `bf` ` Og`cgr Og`cgrff` ff` Kjtjr Kjtjr . Yfyf *afchr sg`chrh / kgwfoheof` pg`fkf mgrhout og

pgnfmft

N\N

*@gbgrh

/

Ifwf`bf` ……………................. …………….................… ….....…………… .....…………….. ..……… ……….. .. u`tuo u`tuo kg`bgk kg`bgkuof uofof` of` pgrkja pgrkjaj`f` j`f` h`h. h`h.

@fkf wfohe>

……………………………………………………………………………………………………

@j O\ / \fspjrt> ……………………………………………………………………………………………………

9.

(Nhof MWOF@ E\OK ) Yfyf nubf kg`bfou mfafwf mfafwf og`cgrff` tgrsgmut tgrsgmut mgrfcf cfefk ofwfef` ofwfef` sfyf cf` cfefk ogfcff` ogfcff` mfho cf` mjega chbu`fof`.

3.

Yfyf kg`bfou tgefa kg`ygrtfof` mfyfrf` sgmf`yfo ]K……………….. ……………….. (nho (nhof f mgrog mgrog`f `ff` f`)) mfbh mfbh tunu tunuf` f` pgrkj pgrkjaj aj`f `f` ` h`h. h`h.

7.

Yfyf kg`bfou cf` kg`bgsfaof` mfafwf muthrf` yf`b sfyf `yftfof` cfefk Mfafbhf` F, M, I, C cf` G mjrf`b h`h fcfef fcfefa a mg`f mg`frr cf` cf` thcf thcfo o kg`bf kg`bf`c `cu` u`bh bh kfoe kfoeuk ukft ft pfes pfesu, u, thcf thcfo o mgtu mgtuee ftfu ftfu kg`b kg`bgeh gehru ruof of`. `.

4.

Yfy Yfyf nubf dfaf faf` cf` sgcfr mfafwf kgkm gkmgrhof` kfoe foeukft yf`b sgmfafbhf` ftfu ogsgeuruaf``yf thcfo mg`fr, pfesu ftfu ftfu kg`bge `bgehhruof ruof` ` fcfe fcfef fa suft uftu ogsf ogsfef efaf af` ` ch mfw mfwfa Ygos Ygosy yg` 6<1( 6<1(6) 6) Fotf otf \g` \g`bf`b bf`bou outtf` Nfe Nfef` 681 6812 yf`b f`b mjega jega kgkm kgkmfw fwf f ogpf ogpfcf cf auou auoukf kf` ` cg`c cg`cf f thcf thcfo o kgeg kgegmh mhah ah ]K7, ]K7,<< <<<. <.<< << ftfu ftfu pg`n pg`nfr frf f sgef sgefkf kf tgkp tgkpja ja thcf thcfo o kgeg kgegmh mhah ah sftu sftu tfau tfau` ` ftfu ogcuf-cuf`y ogcuf-cuf`yf. f.

SF]HOA> SF]HOA> ……………………………….

Sf`cftf`bf` \gkjaj`> \gkjaj`> ………………………….…………

………...........…………………………….……………………… Ijp @fkf cf` Nfwftf` Nfwftf` (nhof pgkheho pgkheho mgrcfdtfr mgrcfdtfr og`cgrff` og`cgrff` fcfefa Fbg`sh Fbg`sh Ogrfnff` / Yyfrhoft Yyfrhoft / \grtumuaf`

………...........…………………………….……………………… Ifp nfrh pgkjaj` (Mfbh Yhnhe \gkhehof` Og`cgrff`)

(N\NO2/\h`c (N\NO2/\h`c 6/=<64) 6/=<64)

D.

OGEWEWYF@ (Ogbu`ff` \gnfmft)

\grkjaj`f` \grkjaj`f` *sfeh`f` *sfeh`f` / *bf`thf` *bf`thf` *Yhnhe *Yhnhe \gkheho \gkhehof` f` Og`cgrff` Og`cgrff` / Egsg` Egsg` Og`cgrff` Og`cgrff` Kjtjr / Egsg` Egsg` \grcfbf`bf` \grcfbf`bf` Og`cgrff` Og`cgrff` Kjtjr tgefa chsgkfo chsgkfo cf` *cheueusof` *cheueusof` / chtjefo. (nhof chtjefo chtjefo `yftfof` `yftfof` sgmfm)> …………………………………………………………………………………………………………………………….…………………………… …………………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………

Sfrhoa> ……………………………………

Sf`cftf`bf`> ………………………. ……………………….…………………….. …………………….. Ijp Ijp @fkf @fkf cf` cf` Nfwft Nfwftf` f`>> ………………………………… …………………………………..

B.

6.

\G]FOWF@ WF@ \G@ \G@G]HKFF KFF@

Yfyf

(`fkf)

\fspjrt

…………………………………….……………………………..

@j.

*O.\

(*Fwfk

/

\jehs

/

Sg`tgrf)

/

…………………………………….……. fcfefa *pgk *pgkheh heho o mgrcfdt mgrcfdtfr fr og`cgr og`cgrff` ff` / pgbfwf pgbfwfhh yf`b yf`b chmgrh chmgrh oufsf oufsf cfef cfefk k

*Fbg *Fbg`s `shh Ogrfn Ogrfnff ff` ` / Yyfr Yyfrhof hoftt / \grtu \grtumu muaf af` ` / *wf *wfoh ohee ogpf ogpfcf cf pgkh pgkheh eho o mgrcf mgrcfdtf dtfrr og`cg og`cgrf rff` f` yf`b yf`b mgr`j mgr`jkm kmjr jr pg`c pg`cfdt fdtfr frf` f` ………………………………………..

kg`bfou

afchr

sg`chrh

pfcf

afrh

h`h

ch

pgnfmft

N\N

*@gbgrh

/

Ifwf`bf`

………………………………………………….. cf` tgefa kg`grhkf *sfe *sfeh`f h`f` ` / *bf`t *bf`thf hf` ` Yhnh Yhnhee \gkhe \gkheho hof` f` Og`c Og`cgr grff ff` ` mgr`jk mgr`jkmjr mjr shrh shrh …………………………………. cfrhpfcf \gbfwfh N\N. ftfu =.

Yfyf (`fkf) ………………. ……………….……………………. …………………….…………………………………… …………………………………….. .. @j. @j. *O.\ *O.\ (*Fw (*Fwfk fk / \jeh \jehs s / Sg`t Sg`tgr grf) f) / \fsp \fspjr jrtt ……………………………... …………………………… ...……… ………..

fcfefa

mgr`jkmjr

pgrcfbf`bf` mgr`jkmjr   ……………………………………… ………………………………………...

*bf`thf`

pg`cfdtfrf` *Egsg`

/ peft

Og`cgrff`

………………………………….. …………………………………

*pgkheho

Kj t j r

/

mgrcfdtfr

Egsg`

/

wfohe

ogpfcf

\grcfbf`bf`

pgkheho

Og`cgrff`

mgrcfdtfr

*og`cgrff`

cf` tgefa

Kjtjr  

yf`b

kg`grhkf

mgr`jkmjr

shrh

cfrhpfcf \gbfwfh N\N.

……………….…………………………..……… Sf`cftf`bf` \gbfwfh Ygrfaf`

……………….……………………………….…… Ijp @fkf cf` Nfwftf`

Sfrhoa> ………………………………. Kfsf> ………………………………...

………………………………………….……………………… Sf`cftf`bf` \gkjaj`

………...........…………………………….……………………… Ijp @fkf cf` Nfwftf` Nfwftf` (nhof pgkheho pgkheho mgrcfdtfr mgrcfdtfr og`cgrff` og`cgrff` fcfefa Fbg`sh Fbg`sh Ogrfnff` Ogrfnff` / Yyfrhoft Yyfrhoft / \grtumuaf`

………...........…………………………….……………………… Ifp nfrh pgkjaj` (Mfbh Yhnhe \gkhehof` Og`cgrff`) Og`cgrff`)

Sfrhoa> ………………………………. Kfsf> ………………………………...