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I am interested in the following property :*			- Select from list - Type A (434 sq ft) Type B1 (883 sq ft) Type B4 (652 sq ft) Type D (1,282 sq ft) Type F (2,081 sq ft)
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Race	:	Malay     Chinese     Indian      Others
Sex	:	- Select below - Male Female
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Residential Address*	:
Contact No.	:	Home phone*
		Office phone
		Mobile phone*
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Monthly Household Income	:	- Select below - RM3,000 - RM5,000 RM5,001 - RM10,000 RM10,001 - RM20,000 Above RM20,000
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