Setuju Dengan Terma & Sharat (agree with Term & Condition) I / We (hereinafter “We/Our”) the undersigned, do hereby Undertake and Agree as follows: If the result(s) of our PCR test taken within 72 hours of our departure are positive, Tourist Visa still can be use within 1 year Any refund from the respective airlines will be subject to their Terms and Conditions We agree that we will not hold Tm Fouzy Travel & Tours accountable and responsible if we are unable to travel and perform Umrah if we are tested as Covid Positive. We acknowledge that Travel Insurance, especially under the current Covid pandemic circumstances is essential. We Will signup for Travel & Personal InsuranceWill signup for Travel Insurance onlyWill not signup for any Insurance We acknowledge that we may bear out-of-pocket expenses where claims and refunds cannot be made or reimbursed if we do not have appropriate travel insurance. We acknowledge that the scheduled umrah programme, ground services and protocols are subject to change without prior notice by the relevant authorities. We understand that upon return to Singapore, if we are subsequently tested as Covid Positive, we may be subject to any prevailing cost/payment imposed by the relevant authorities/hospitals. In the event border closures are imposed by the Saudi or Singapore authorities for public health or security reasons resulting in the cancellation of our departure, we will not hold (Name of Travel Agent) liable and will proceed with the necessary remedial measures as advised by (Name of Travel Agent) Pilihan Pakej (Package selection) Pakej(For package) Choose PackageUmrah 08 – 19 Nov (12 days)Umrah 22 Nov – 3 Dec (13 days)Umrah 14 – 25 Dec (11 days)3 – 14 Feb (12days)14 – 25 Feb (12days)22 Feb – 5 Mar (12days)1 – 12 Mar (12days) Jumlah Jemaah(Number of Pax) 123456 Jumlah Bilik(Number of Room) 123 Pax 1 Jemaah Utama (Main Applicant) Personal detail Nama penuh (Full Name as in Passport) Identification No. (I/C) Tarikh lahir (Date of birth) Jantina (Gender) —MaleFemale Taraf Perkahwinan(Marital status) —SingleMarriedWidowedDivorced Pekerjaan (Occupation)*optional Nama Ibu (Mother’s name) Nama Mahram bagi Muslimah (Name of accompanying Mahram)*if any Contact detail Phone no. (for whatsapp group) Email Full Address Unit Postal code Passport detail Upload vaccine pdf (get from) Upload Passport copy Upload Photo ID (with white background) Passport no. Issue date Expiry date Country Issue Citizen of Birth place Health declaration DiabetesHeartHypertensionAsthmaKidney Other Pax 2 Personal detail Nama penuh (Full Name as in Passport) Identification No. (I/C) Tarikh lahir (Date of birth) Jantina (Gender) —MaleFemale Taraf Perkahwinan(Marital status) —SingleMarriedWidowedDivorced Pekerjaan (Occupation)*optional Nama Ibu (Mother’s name) Nama Mahram bagi Muslimah (Name of accompanying Mahram)*if any Contact detail Phone no. (for whatsapp group) Email (optional) Full Address Unit Postal code Passport detail Upload vaccine pdf (get from) Upload Passport copy Upload Photo ID (with white background) Passport no. Issue date Expiry date Country Issue Citizen of Birth place Health declaration DiabetesHeartHypertensionAsthmaKidney Other Pax 3 Personal detail Nama penuh (Full Name as in Passport) Identification No. (I/C) Tarikh lahir (Date of birth) Jantina (Gender) —MaleFemale Taraf Perkahwinan(Marital status) —SingleMarriedWidowedDivorced Pekerjaan (Occupation)*optional Nama Ibu (Mother’s name) Nama Mahram bagi Muslimah (Name of accompanying Mahram)*if any Contact detail Phone no. (for whatsapp group)(optional) Email (optional) Full Address Unit Postal code Passport detail Upload vaccine pdf (get from) Upload Passport copy Upload Photo ID (with white background) Passport no. Issue date Expiry date Country Issue Citizen of Birth place Health declaration DiabetesHeartHypertensionAsthmaKidney Other Pax 4 Personal detail Nama penuh (Full Name as in Passport) Identification No. (I/C) Tarikh lahir (Date of birth) Jantina (Gender) —MaleFemale Taraf Perkahwinan(Marital status) —SingleMarriedWidowedDivorced Pekerjaan (Occupation)*optional Nama Ibu (Mother’s name) Nama Mahram bagi Muslimah (Name of accompanying Mahram)*if any Contact detail Phone no. (for whatsapp group)(optional) Email (optional) Full Address Unit Postal code Passport detail Upload vaccine pdf (get from) Upload Passport copy Upload Photo ID (with white background) Passport no. Issue date Expiry date Country Issue Citizen of Birth place Health declaration DiabetesHeartHypertensionAsthmaKidney Other Pax 5 Personal detail Nama penuh (Full Name as in Passport) Identification No. (I/C) Tarikh lahir (Date of birth) Jantina (Gender) —MaleFemale Taraf Perkahwinan(Marital status) —SingleMarriedWidowedDivorced Pekerjaan (Occupation)*optional Nama Ibu (Mother’s name) Nama Mahram bagi Muslimah (Name of accompanying Mahram)*if any Contact detail Phone no. (for whatsapp group)(optional) Email (optional) Full Address Unit Postal code Passport detail Upload vaccine pdf (get from) Upload Passport copy Upload Photo ID (with white background) Passport no. Issue date Expiry date Country Issue Citizen of Birth place Health declaration DiabetesHeartHypertensionAsthmaKidney Other Pax 6 Personal detail Nama penuh (Full Name as in Passport) Identification No. (I/C) Tarikh lahir (Date of birth) Jantina (Gender) —MaleFemale Taraf Perkahwinan(Marital status) —SingleMarriedWidowedDivorced Pekerjaan (Occupation)*optional Nama Ibu (Mother’s name) Nama Mahram bagi Muslimah (Name of accompanying Mahram)*if any Contact detail Phone no. (for whatsapp group)(optional) Email (optional) Full Address Unit Postal code Passport detail Upload vaccine pdf (get from) Upload Passport copy Upload Photo ID (with white background) Passport no. Issue date Expiry date Country Issue Citizen of Birth place Health declaration DiabetesHeartHypertensionAsthmaKidney Other Butir waris di Singapura / Particulars of Next of Kin in Singapore 1) Name Hubungan (Relationship) Alamat penuh (Full Address) Phone no. 2) Name *optional Hubungan (Relationship) Alamat penuh (Full Address) Phone no. Permohonan Bilik / Rooming Request Bagi Pemohon yang ingin sebilik dengan jemaah lain (hanya jika ada ruang) For applicant who wish to have adjoining room with other applicants (subject to availability) —I want sharing room with other jemaahI want single room for me Isikan nama-nama jemaah setiap bilik (Input names of jemaah for each room) Room 1 Room 2 Room 1 Sebutkan bayaran anda pada kami yang belum di gunakan.(State any previous payment unutilized).*optional Jumlah yang anda bayar (Total amount paid) Upload Payment screenshot(PayNow ke UEN 199402129H (TM Fouzy Travel & Tours)) *Harus membayar penuh jika keberangkatan pakejnya kurang 45 hari Special request (optional) I hereby declare that the details furnished above are true and correct to the best of my knowledge I have read and agree to the Terms & Conditions Please give a moment after for the page to load after submitting
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