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E Form 2009 - Hasil

1 FOR REFERENCE ONLYCP 8 - Pin. 2009 RETURN form OF EMPLOYERLEMBAGA Hasil DALAM NEGERI MALAYSIAFormEThis form is prescribed under section 152 of the Income Tax Act 1967 Name ofEmployer asRegistered1 Reference IdentityCard ERegistration CompaniesCommission ofMalaysia or others86 Status(use the status code)3 Date received (1)Date received (2)Date received (3) 2009 REMUNERATION FOR YEARUNDER SUBSECTION 83(1) OF THE INCOME TAX ACT 1967 Old IdentityCard Address11e-mailPostcodeTown-State03 = D 05 = J07 = TP09 = TC01 = SG06 = F08 = TA02 = OG04 = C11 = TR10 = CS12 = OthersFOR OFFICE USE2 FOR REFERENCE ONLYNameReference No.

1 Y CP 8 - Pin. 2009 RETURN FORM OF EMPLOYER EForm LEMBAGA HASIL DALAM NEGERI MALAYSIA This form is prescribed under section 152 of the Income Tax Act 1967 Name of Employer as Registered 1 2 Reference No. Passport No.

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