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PNM.PK(O)PBN.02(B1)

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BORANG PENDAFT ARAN PROGRAM ISBN /ISBN PROGRAMME REGISTRAT ION FORM

LENGKAPKAN SEMUA BUTIRAN. PERMOHONAN TIDAK LENGKAP TIDAK AKAN DIPROSES

A. MAKLUMAT PENERBIT / PUBLISHER INFORMATION  

Penerbit / Publisher :  ........................................................

 Alamat/Address ......................................................... 

.........................................................

.........................................................

Telefon / Telephone:  .........................................................  Faks / Fax :  ...............................

E-mail :  .........................................................

B. SOAL SELIDIK PENERBITAN / QUESTIONNAIRE ON PUBLISHING

1. Sila nyatakan bilangan judul yang telah diterbitkan tanpa ISBN

Total of title have been published without ISBN:.....................................................................

2. Tarikh mula penerbitan

Publishing starting date :..............................................................................................................................

3. Bilangan judul yang dicadangkan diterbitkan dalam tempoh 10 tahun10 years expectation number of titles will be published : ............................................................................

4. Bilangan judul dalam proses cetakan Number of title in printing process : ...........................................................................................................

C. AKUAN / ACKNOWLEDGEMENT

Nama Pemohon / Applicant name:....................................................................................................................

Jawatan / Designation: ......................................................................................................................................(Pengerusi/Pengurus/Setiausaha/Pengarah/Pemilik)

Tarikh Permohonan / Date Apply: ...................................................................................................................

..............................................................................Tandatangan & Cop Rasmi Syarikat

Signature & Official Company Rubber Stamp

 Nota / Note: Sila sertakan salinan Perakuan Pendaftaran syarikat (Borang D) dan lampiran nama pemilik dansalinan kad pengenalan bagi penerbit individu / Please attach with the copy of  ROC certificatedan r  copy of identity

 card for individual publisher.

PUSAT KEBANGSAAN ISBN / ISSN

 Aras 3, Anjung Bestari, PERPUSTAKAAN NEGARA MALAYSIA232, Jalan Tun Razak, 50572 Kuala Lumpur

TEL: 03-26814329, 03-26871700 samb 4288 ; FAX : 03-26811676Email: isbn @pnm.gov.my