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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. EPART A: INFORMATION ON NUMBER OF EMPLOYEES FOR THE YEAR ENDED 31 DECEMBER 2009A2A3 Number of new employeesA4 Number of employees whoceased employmentA1 Number of employeesNumber of employeesunder the STD schemeA5 Number of employeeswho ceased employmentand left MalaysiaA6 Has the cessation beenreported to LHDNM?

4 y return of remuneration from employment for the year ended 31st december 2009 and particulars of income tax deduction under income tax rules (deduction from remuneration) 1994

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