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The Central Terengganu Development Authority (KETENGAH), an agency under the Ministry of Rural Development, was incorporated on 12 April 1973 by Parliament Act No. 104/73 with authorisation to carry out economic and social development in an area of 443.876 hectares covering the interior of Dungun, Kemaman and Hulu Terengganu Districts.

On 12 June 1993, the Lake Kenyir Development area in Hulu Terengganu covering 209,199 hectares was gazzeted via LN (B) 356 with area gazette plan no. PW486 as part of KETENGAH, making the KETENGAH region a total of 653,075 hectares or about one-half the size of Terengganu state.