Pendaftaran Ahli**Member Registration – PERAHMAT

(1) In our effort to improve our services, we are in the process of upgrading our database and improving the data quality.Your cooperation and support in providing correct data is much appreciated./ Dalam usaha kami untuk meningkatkan perkhidmatan kami, kami sedang dalam proses menaik taraf pangkalan data kami dan meningkatkan kualiti data. Kerjasama dan sokongan anda dalam memberikan data yang betul dan tepat adalah amat dihargai.

Email**if you have no email please key-in no.email@perahmat.my

Name/ Nama (required)

Surname/ Nama Bapa (required)

NRIC or Passport/ Kad Pengenalan or Paspot

Date of birth/ Tarikh Lahir

Gender/ Jantina

Race/ Bangsa

Telephone/ Telefon

Address/ Alamat 1

Address/ Alamat 2

City/ Bandar

State/ Negeri

Postcode/ Poskod

Country/ Negara

Citizenship/ Warganegara

Have Remembrance Breath/ Ada Zikir Nafas?

Place of Bai'ah/ Tempat mengambil Bai'ah

Date of Bai'ah/ Tarikh mengambil Bai'ah

Year of joining PERAHMAT program(s)/ Tahun menyertai program PERAHMAT?

Perahmat member and have paid membership fee of RM11? / Ahli Perahmat dan sudah membayar yuran keahlian sebanyak RM11?

Are you / Adakah anda Mubaligh or Mubaligha?

How would you like to be contacted?/ Bagaimana cara menghubungi anda?