Campaign Verification
For Trust and Transparency, please fill out this form.
Pilih bahasa anda / Choose your languange
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Bahasa Melayu
English
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Pilih kategori kempen anda
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Perubatan Manusia
Perubatan Haiwan / Kitaneko
Pendidikan (Biasiswa)
Pendidikan (Projek Universiti)
Kemanusiaan / NGO
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Choose your campaign category
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Human Medical
Animal Medical / Kitaneko
Education (Scholarship)
Education (University Project)
Humanitarian / NGO
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Human Medical
Please upload all the documents correctly
Nama Pemula Kempen
*
Nama Pesakit
*
Link kempen anda
*
Dokumen Hospital
*
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Report/memo/etc. (For verification process)
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Gambar Kad Pengenalan Pemula Kempen
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Untuk tujuan pengesahan. Anda dinasihatkan untuk palang IC anda dengan "Kegunaan Kitafund Sahaja"
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Gambar Kad Pengenalan Pesakit
*
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Untuk tujuan pengesahan. Anda dinasihatkan untuk palang IC anda dengan "Kegunaan Kitafund Sahaja"
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Maklumat waris/wakil untuk Khairat Kematian
*
Sila tulis. Nama: Nombor telefon: Hubungan dengan pesakit:
Penyata pendapatan / penyata bank (bulan pertama)
*
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Sila sertakan slip gaji dan jika tidak bekerja atau tiada slip gaji/penyata pendapatan, sila sertakan 3 bulan penyata bank
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Penyata bank (bulan kedua)
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Sila sertakan slip gaji dan jika tidak bekerja atau tiada slip gaji/penyata pendapatan, sila sertakan 3 bulan penyata bank
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of
Penyata bank (bulan ketiga)
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Sila sertakan slip gaji dan jika tidak bekerja atau tiada slip gaji/penyata pendapatan, sila sertakan 3 bulan penyata bank
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of
Pengesahan Pemula Kempen
Saya telah memastikan bahawa semua dokumen berkaitan telah dimuat naik dan saya telah menyemak data yang saya serahkan dan mengesahkan ketepatan dan terkini.
*
Ya
Tidak
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Perubatan Haiwan
Sila lengkapkan semua maklumat dengan tepat
Nama Pemula Kempen
*
Link kempen anda
*
Dokumen Hospital/Vet
*
Browse Files
Drag and drop files here
Choose a file
Report/memo/etc (untuk proses pengesahan)
Cancel
of
Gambar Kad Pengenalan Pemula Kempen
*
Browse Files
Drag and drop files here
Choose a file
Untuk tujuan pengesahan. Anda dinasihatkan untuk palang IC anda dengan "Kegunaan Kitafund Sahaja"
Cancel
of
Penyata pendapatan / penyata bank (bulan pertama)
*
Browse Files
Drag and drop files here
Choose a file
Sila sertakan slip gaji dan jika tidak bekerja atau tiada slip gaji/penyata pendapatan, sila sertakan 3 bulan penyata bank
Cancel
of
Penyata bank (bulan kedua)
Browse Files
Drag and drop files here
Choose a file
Sila sertakan slip gaji dan jika tidak bekerja atau tiada slip gaji/penyata pendapatan, sila sertakan 3 bulan penyata bank
Cancel
of
Penyata bank (bulan ketiga)
Browse Files
Drag and drop files here
Choose a file
Sila sertakan slip gaji dan jika tidak bekerja atau tiada slip gaji/penyata pendapatan, sila sertakan 3 bulan penyata bank
Cancel
of
Pengesahan Pemula Kempen
Saya telah memastikan bahawa semua dokumen berkaitan telah dimuat naik dan saya telah menyemak data yang saya serahkan dan mengesahkan ketepatan dan terkini.
*
Ya
Tidak
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Pendidikan (Biasiswa)
Sila lengkapkan semua maklumat dengan tepat
Nama Pemula Kempen
*
Link kempen anda
*
Gambar Kad Pengenalan Pemula Kempen
*
Browse Files
Drag and drop files here
Choose a file
Untuk tujuan pengesahan. Anda dinasihatkan untuk palang IC anda dengan "Kegunaan Kitafund Sahaja"
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of
Gambar Kad Pelajar / Matrik Kad
*
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Surat tawaran kemasukan universiti
*
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Pengesahan Pemula Kempen
Saya telah memastikan bahawa semua dokumen berkaitan telah dimuat naik dan saya telah menyemak data yang saya serahkan dan mengesahkan ketepatan dan terkini.
*
Ya
Tidak
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Next
Pendidikan (Projek Universiti)
Sila lengkapkan semua maklumat dengan tepat
Nama Pemula Kempen
*
Link kempen anda
*
Gambar Kad Pelajar / Matrik Kad
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Surat tawaran kemasukan universiti
*
Browse Files
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Choose a file
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of
Projek Proposal
*
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Choose a file
Cancel
of
Pengesahan Pemula Kempen
Saya telah memastikan bahawa semua dokumen berkaitan telah dimuat naik dan saya telah menyemak data yang saya serahkan dan mengesahkan ketepatan dan terkini.
*
Ya
Tidak
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Kemanusiaan / NGO
Sila lengkapkan semua maklumat dengan tepat
Nama Pemula Kempen
*
Nama Organisasi
*
Link kempen anda
*
Sijil penubuhan NGO/Pertubuhan
*
Browse Files
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of
Penyata bank akaun organisasi
*
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Projek/Program Proposal
*
Browse Files
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Choose a file
Cancel
of
Pengesahan Pemula Kempen
Saya telah memastikan bahawa semua dokumen berkaitan telah dimuat naik dan saya telah menyemak data yang saya serahkan dan mengesahkan ketepatan dan terkini.
*
Ya
Tidak
Back
Submit
Next
Human Medical
Please upload all the documents correctly
Campaigner's Name
*
Patient's Name
*
Campaign Link
*
Hospital Documentation
*
Browse Files
Drag and drop files here
Choose a file
Report/memo/etc. (For verification process)
Cancel
of
Picture of campaigner’s Identity card
*
Browse Files
Drag and drop files here
Choose a file
For verification purposes. You’re advised to cross your IC with “Kitafund Use Only”
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of
Picture of patient's Identity card
*
Browse Files
Drag and drop files here
Choose a file
For verification purposes. You’re advised to cross your IC with “Kitafund Use Only”
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of
Heir/representative Information for Khairat Kematian
*
Please write. Name: Contact No: Relationship:
Income statement / Bank statement (first month)
*
Browse Files
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Please attach payslip and if do not work or have no payslip/income statement, please attach 3 months of bank statement
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Bank statement (second month)
Browse Files
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Please attach payslip and if do not work or have no payslip/income statement, please attach 3 months of bank statement
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of
Bank statement (third month)
Browse Files
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Please attach payslip and if do not work or have no payslip/income statement, please attach 3 months of bank statement
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Campaigner Verification
I have ensured that the related documents have been uploaded and I have reviewed the data I submitted and verified its accuracy and up-to-date
*
Yes
No
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Animal Medical
Please upload all the documents correctly
Campaigner's Name
*
Campaign Link
*
Hospital/Vet Documentation
*
Browse Files
Drag and drop files here
Choose a file
Report/memo/etc. (For verification process)
Cancel
of
Picture of campaigner’s Identity card
*
Browse Files
Drag and drop files here
Choose a file
For verification purposes. You’re advised to cross your IC with “Kitafund Use Only”
Cancel
of
Income statement / Bank statement (first month)
*
Browse Files
Drag and drop files here
Choose a file
Please attach payslip and if do not work or have no payslip/income statement, please attach 3 months of bank statement
Cancel
of
Bank statement (second month)
Browse Files
Drag and drop files here
Choose a file
Please attach payslip and if do not work or have no payslip/income statement, please attach 3 months of bank statement
Cancel
of
Bank statement (third month)
Browse Files
Drag and drop files here
Choose a file
Please attach payslip and if do not work or have no payslip/income statement, please attach 3 months of bank statement
Cancel
of
Campaigner Verification
I have ensured that the related documents have been uploaded and I have reviewed the data I submitted and verified its accuracy and up-to-date
*
Yes
No
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Education Individual Scholarship
Please upload all the documents correctly
Campaigner's Name
*
Campaign Link
*
Picture of campaigner’s Identity card
*
Browse Files
Drag and drop files here
Choose a file
For verification purposes. You’re advised to cross your IC with “Kitafund Use Only”
Cancel
of
Photo of Student Card
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
University admission Offer letter
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Campaigner Verification
I have ensured that the related documents have been uploaded and I have reviewed the data I submitted and verified its accuracy and up-to-date
*
Yes
No
Back
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Education - University Project
Please upload all the documents correctly
Campaigner's Name
*
Campaign Link
*
Photo of Student Card
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
University admission Offer letter
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Project Proposal
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Campaigner Verification
I have ensured that the related documents have been uploaded and I have reviewed the data I submitted and verified its accuracy and up-to-date
*
Yes
No
Back
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Humanitarian / NGO
Please upload all the documents correctly
Campaigner's Name
*
Organization Name
*
Campaign Link
*
NGO/Organization establishment certificate
*
Browse Files
Drag and drop files here
Choose a file
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of
Bank statement organization account
*
Browse Files
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Choose a file
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of
Project/Program Proposal
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Campaigner Verification
I have ensured that the related documents have been uploaded and I have reviewed the data I submitted and verified its accuracy and up-to-date
*
Yes
No
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