Foreign Registration Form

Foreign Registration Hai Selamat Datang

*Username

*First Name

Last Name

*Passport Number

*Upload Passport

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*Address 1

*Zip

*City

*State

*Phone

*Email

*Nama Waris (Heir)

*Phone Waris

*Hubungan Waris

*Password

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Tawakal Privilege Membership 1	RM110.00 every year
Discount ( )	-RM0.00

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Subtotal

Fee	RM110.00 every year