20 APRIL 2002
IX.
S
IGNATURE :
AHMAD IBRAHIM
(Date)
** (Applicant/Agent
PA 143/94
If Agent, indicate Agent’s Registration No.
For Official Use
1. Date application received : …………………………………………………………………………….
2. Date of receipt of correction, later filed papers or drawings completing the application :
…………………………………………………………………………………………………………..…..
*
Delete whichever does not apply
** Type name under signature and delete whichever does not apply
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