Form | Projek Korban 2018





Attention:
  • With every form submitted, you are allowed to make a contribution of not more than RM3,000.00. If you wish to contribute an amount more than that, please submit this form a few times until your target is reached.
Salutation *
Full Name *
Identity Card No *
Street Address *
Without the Postcode, City & State
Postcode *
City / Town *
State *
Home Tel. No
Mobile Tel. No *
Email *
Donation Type *
1. 1 Part Of Cattle (Palestine)
RM1,900.00
2. 1 Part Of Cattle (Malaysia)
RM800.00
3. 1 Whole Goat (Palestine)
RM1,900.00
4. 1 Whole Goat (Malaysia)
RM1,000.00
5. Aqiqa
RM1,900.00
6. Qurban Sadaqa
RM350.00
7.General Contribution
RM .00
Method Of Payment *
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