Proton X50 2024 - Page 49

CHANGE OF ADDRESS / OWNERSHIP CARD (KAD PENUKARAN ALAMAT /
PEMILIKAN) SBL003FORMS13003
If the name and/or address of the vehicle owner is changed, please fill in the new details below and return to
Jika nama dan/atau alamat pemilik kenderaan bertukar, sila isikan butiran terperinci yang baru di bawah ini dan kembalikan
kepada::
PROTON EDAR SDN.BHD
Center of Excellence Complex, KM 33.8 Westbound Shah Alam Expressway, 47600 Subang Jaya, Selangor, MALAYSIA
Vehicle Reg. No.Change of address / Ownership (Tick Appropriate Box)
Penukaran Alamat / Pemilik (Tandakan kotak yang berkenaan) (No. Pendaftaran Kenderaan)
Chassis No.Change of ownership
(B)
Change of address
(A)
(Penukaran Pemilik)(Penukaran Alamat) (No. Casis)
Name (Nama)
IC No. (No.KP)
Address (Alamat)
Town / City (Bandar / Bandaraya)
Post Code (Poskod)
State (Negeri)
+601
Mobile phone (Tel bimbit)
+60
Fixed line No.
(No talian tetap)
Email (Emel)
41
Identifier: MANSBLX70CKDMC2 Generated: 14.02.2024 02:30:57 p.m.