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UHAD GLOBAL MARKETING (Co. No. AS297468-M), No. A1.25, Komplek Pekan Rabu , Jalan Tunku Ibrahim, 05700 Alor Setar , Kedah DA Tel. No. 04-7339326 (Showroom/ Kedai ), 013-5236978 (Hotline) Fax No: 04-7339326 Website: www.alongpekanrabu.com Email: uhadglobal@gmail.com. Page 1.

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  1. UHAD GLOBAL MARKETING (Co. No. AS297468-M),No. A1.25, KomplekPekanRabu, JalanTunku Ibrahim, 05700 AlorSetar, Kedah DATel. No. 04-7339326 (Showroom/Kedai), 013-5236978 (Hotline) Fax No: 04-7339326Website: www.alongpekanrabu.com Email: uhadglobal@gmail.com Page 1 Date: ……………………………. REGISTERATION FORM Photo MaklumatPerhubungan Account Facebook : ……………….…………….………. (Jikaada) Email : ……………….………………….… (Jikaada) TelefonPejabat: ……………….…………………… Telefonbimbit : ……………….………………….… MaklumatAsas User ID/Nickname : ……………………….……………....  NamaPenuh: …………………………………….…. TarikhLahir: …………………………………..….. Umur : ……………………………………….. Jantina: ……………………….………….. Tinggi (cm/in) : ……………………..……………. Berat (kg) : ………………………..………… Status HubunganAnda Status hubungan & perkahwinan : Single ( ) Duda/Janda ( ) TahunBerkahwin/Berpisah : …………………………… JumlahAnak/UmurAnakBongsu : …………………………… Sebabperpisahan : …………………………………………………………………………….………… • Status PendidikandanPekerjaan • Pendidikan • PencapaianAkedemik: …………………………… • Aliran / Bidang: …………………………… • Pekerjaan • BidangKerja: …………………………… • Pekerjaan/Jawatan: …………………………… • Anggaranpendapatan : …………………………… Ibubapa & AdikBeradik UmurIbu/Bapa: …………../………… Jumlahadikberadik: ………....…………… Anak yang ke-? : …………..….……… Fizikal Berkaca Mata?: ………………………...……… Jenisrambut: …………………..…….……… Janggut/Misai: …………………..…….……… Rautwajah: …………………..……….…… Kulit: …………………….……..…… TigaCiriPositif Yang AndaMiliki CiriPertama: ………………………..……… CiriKedua: ……………………….....…… CiriKetiga: …………………..…..……… TigaCiriNegatif Yang AndaBenci CiriPertama: ……….………………………. CiriKedua: ………………………..….…. CiriKetiga: ……….………………..……. HobiAnda: WarnaKegemaran: …………………………… MakananKegemaran: …………………………… Filemkegemaran: …………………………… Lagukegemaran: …………………………… BukuKegemaran: …………………………… Jenamatelefonbimbit: …………………………… Kenderaan (Jikaada) : …………………………… SosialKehidupan KeluarMalam: …………………………… Jenamarokok: …………………………… Tempatkegemaran: …………………………… Binatangpeliharaan: ……………..………….…

  2. Page 2 UHAD GLOBAL MARKETING (Co. No. AS297468-M),No. A1.25, Komplek Pekan Rabu, Jalan Tunku Ibrahim, 05700 Alor Setar, Kedah DATel. No. 04-7339326 (Showroom/Kedai), 013-5236978 (Hotline) Fax No: 04-7339326Website: www.alongpekanrabu.com Email: uhadglobal@gmail.com REGISTERATION FORM Agama & Ibadah(Islam sahaja) Agama /Mazhab: …………………………/…………………….………. KelazimanMembaca Al-Qurandlmseminggu: …………….………………………………………….. Berjemaahdimasjiddalamseminggu : …………………………………………….………….. Siapakahnama imam masjid/khariahanda : …………………………………………….…...…….. SurahKegemarandalam Al-Quran: ……………………………………………….……….. Waktuapakebiasaannyaorangsolatdhuha: ………………………………………………….…….. Apamaksudnyaqiamulai ? : ……………………………………………….….…….. Namakan 3 sahabatRasullulluh : ……………………………………………......…….. Pernahmenghadirikursusperkahwinan : ……………………………………………..….…….. Bilakah plan andauntukberkahwin? : ……………………………………………….…...….. Sebabinginberkahwin : …………………………………………………...….. Bilakah kali terakhirandabersedekah? : …………………………………………………………. Sebabkenapaandalayakuntukmendapatpasangan yang baik/sesuai 1. .……………………………………………………………………………………………………………..…….. ……… 2. …………………………………………………………………………………………………………….……………..… 3. ……………………………………………………………………………………………………………….…………..… Apakahkriteriapasangan yang andajangkakan (Expectation): 1. .……………………………………………………………………………………………………..……………..……..… 2. .……………………………………………………………………………………………………..…………..………..… 3. .……………………………………………………………………………………………………..……….….………..… 4. Umur: 25-30 ( ) 31-35 ( ) 36-40 ( ) 41-45 ( ) 46-50 ( ) 51-55 ( ) 5. Pekerjaan: Sendiri ( ) Swasta ( ) Kerajaan ( ) Silanyatakan ………………..….

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