Appointment Booking Form:
Ahlan Wa Sahlan! Kindly reserve your appointment with us before coming down to our office. Syukran
Full Name
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First Name
Last Name
E-mail
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
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Sudahkan anda daftar untuk Quota Haji - Muis? Have you registered for Muis - Haj Quota?
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Yes
No
Hajj - UkhuwahPackage :
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29 Days : 15 June till 13 July 2023
22 Days : 22 June till 13 July 2023
No. of paxs signing up | Bilangan jemaah bersama : (Sila nyatakan dengan jelas, ie ; 1, 2, 3 dan sebagainya)
Appointment
Number of Visitors
*
Additional info :
Kindly bring the following upon registration :
Passport
NRIC
Visa Photo (4cm by 6cm) - 1 piece
Passport Photo (3.5cm by 4.5cm) - 2 pieces
Vaccination Certificate via https://www.notarise.gov.sg/
Meningitis & Influenza Cert
Other - Certificate for ladies, ie : Birth Cert/Marriage/Divorce/Death Cert
Payment by cash, cheque or PayNow (Deposit $1,000/ per person)
(Optional) Upload copy of document required here, ie: Nric, Passport, Passport Photo- Digital.
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Inform Consent of Acknowledgment
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I hereby give my approval for my participation in any and all activities prepared by M/s Abu Bakar Travel Services Pte Ltd during the selected package/tour. In exchange for my acceptance of said travel participation arranged and/or conducted by M/s Abu Bakar Travel Services Pte Ltd, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless M/s Abu Bakar Travel Services Pte Ltd and all its respective officers, agents, and representatives from any and all liability for injuries to said participant in, out of traveling to, participating in, or returning from selected packages. In case of injury to said participant, I hereby waive all claims against {M/s Abu Bakar Travel Services Pte Ltd} . including all coaches and affiliates, all participants, group leader and, if applicable, owners and lessors of hotels used to accomodate the group. There is a risk of being injured that is inherent in all Umrah and/or Hajj activities, Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Confirmation
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BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE
Signature
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