Khidmat Sign Up Form:
Ahlan Wa Sahlan! Kindly reserve your interest and our office will revert you as soon as possible. Syukran
Full Name
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First Name
Last Name
E-mail
example@example.com
Address
*
Street Address
Street Address Line 2
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Contact Number
*
Service Package :
*
Badal Umrah : S$550
Package A : S$2,200 (Badal Haji, Korban & Khatamal Quran
Package B : S$1,650 (Badal Haji & Korban)
Badal Haji : S$1,450
Khatamal Quran : S$550
Aqiqah : S$350
Korban : S$350
No. Of persons (intended for Kiriman)
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Nama-nama pengirim (keluarga/waris)
Name for Kiriman (Arwah)
*
Photo of person Intended for kiriman :
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Name of Sender (Waris)
Name of Applicant
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Full payment by Cash, Cheque or PayNow
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Additional Info
Name of Sender requested their additional info for address & contact number to reach. Photo of kiriman will be used for certification. PayNow can be made via UEN once we have sent the invoice
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