BORANG LAPORAN KEMATIAN AHLI & TUNTUTAN KHAIRAT
NAMA SIMATI
*
NOKP SIMATI
*
TARIKH KEMATIAN
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Hour Minutes
AM
PM
AM/PM Option
SIJIL KEMATIAN
*
Muat Naik Fail
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Sila Muat Naik Sijil Kematian.
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of
NAMA WARIS
*
NOKP WARIS
*
NO. TELEFON WARIS
*
HUBUNGAN DENGAN SIMATI
*
Please Select
ISTERI
SUAMI
ANAK
BAPA
IBU
SAUDARA
DATUK
NENEK
PEKDA
NAMA BANK
*
Please Select
AFFIN BANK BERHAD
AL RAJHI BANKING BERHAD
ALLIANCE BANK MALAYSIA BERHAD
AMBANK (M) BERHAD
ASIAN FINANCE BANK BERHAD
BANGKOK BANK BERHAD
BANK ISLAM MALAYSIA BERHAD
BANK MUAMALAT MALAYSIA BERHAD
CIMB BANK BERHAD
CITIBANK BERHAD
EON BANK BERHAD
HONG LEONG BANK BERHAD
HSBC BANK MALAYSIA BERHAD
KUWAIT FINANCE HOUSE (MALAYSIA) BERHAD
MALAYAN BANKING BERHAD
OCBC BANK (MALAYSIA) BERHAD
PUBLIC BANK BERHAD
RHB BANK BERHAD
STANDARD CHARTERED BANK MALAYSIA BERHAD
UNITED OVERSEAS BANK (MALAYSIA) BERHAD
NO AKAUN BANK
*
TARIKH
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
STATUS KEAHLIAN
AHLI AKTIF
BUKAN AHLI
AHLI TIDAK AKTIF
AHLI TAMAT TEMPOH
NO. AHLI PEKDA
KELAYAKAN MANFAAT
YA
TIDAK
TARIKH BAYARAN
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
AMAUN BAYARAN
CATATAN
EMAIL
example@example.com
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