PAYMENT OF WAQAF PERAK AR-RIDZUAN
Type of ID
*
MyKad
Permanent Resident
Old IC
Police
Army
Passport
UNHCR
ID No.
*
If MyKad, please key in the 12 digit of your IC No.
WITHOUT DASH SYMBOL
, e.g: 781512115242 (test)
Full Name
*
Address
*
House No./Lot
Name of Street
Name of Taman/Village
District / City
*
Postcode
*
State
*
-- Please Choose --
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Pulau Pinang
Perak
Perlis
Selangor
Terengganu
Sabah
Sarawak
Wilayah Persekutuan (Kuala Lumpur)
Wilayah Persekutuan (Labuan)
Wilayah Persekutuan (Putrajaya)
Lain-Lain
Country
*
Albania
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahrain
Belgium
Bolivia
Bosnia
Brazil
Bulgaria
Central America
Chile
China
Colombia
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
Estonia
Finland
France
Germany
Greece
Guatemala
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Italy
Japan
Jordan
Kenya
Kuwait
Latin America
Latvia
Lebanon
Lithuania
Luxembourg
Macedonia
Malaysia
Mexico
Netherlands
New Zealand
Nigeria
Norway
Oman
Palestine
Panama
Peru
Pharos Islands
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Salvador
Saudi Arabia
Serbia & Montenegro
Singapore
Slovakia
Slovenia
South Korea
Spain
Switzerland
Syria
Taiwan
Tanzania
Thailand
Turkey
UAE
Uganda
UK
Ukraine
Uruguay
Venezuela
Vietnam
Yugoslavia
Tel No. (Mobile)
*
Please key in the handphone number without any dash symbol, e.g: 0127881235
E-mail
Please key in your e-mail with the right format, e.g: name@mail.com