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Full Name
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First Name
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2
Address
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Western Sahara
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Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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3
E-mail
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example@example.com
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4
Contact Number
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5
Umrah Package 2024 / 2025 :
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7 December till 17 December 2024 - 11 Days
7 December till 20 December 2024 - 14 Days
9 January 2025 till 19 January 2025 - 11 Days
22 February 2025 till 5 March 2025 - 12 Days
6 September 2025 till 16 September 2025 - 11 Days
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6
Mempunyai Visa yang masih valid? Do you still have your own visa?
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Yes
No
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7
No. of paxs signing up | Bilangan jemaah bersama : (Sila nyatakan dengan jelas, ie ; 1, 2, 3 dan sebagainya)
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8
Pertama kali ke Umrah? First time for Umrah
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Yes
No
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9
Appointment
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10
Number of Visitors
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11
Additional info :
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12
Kindly upload/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/
Meningococcal & Influenza Cert
Other - Certificate for ladies, ie : Birth Cert/Marriage/Divorce/Death Cert
Payment by cash, cheque or PayNow (Deposit $1,000/ per person)
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(Optional) Upload copy of document required here, ie: Nric, Passport, Passport Photo- Digital.
Drag and drop files here
Select files to upload
Max. file size
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14
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.
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15
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
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16
Signature
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