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Dalam Proses.....
Online Pre-Registration for Conversion to Islam
Personal Details
Attachment(s)
Confirmation
Personal Details
Original Name
MyKad/
Passport No.
Muslim Name
Email
Mobile
Home Address
Date of Birth
Gender
Lelaki
Perempuan
Ethnic
-Please select-
Iban
Bidayuh
Melanau
Cina
Lain-lain Bumiputera
Lain-Lain
Please Specify
Original Religion
-Please select-
Kristian
Buddha
Hindu
Pagan
Lain-lain
Please Specify
Nationality
Place of Birth
High Education Level
Age
Marital Status
Bujang
Berkahwin
Janda
Duda
Name of Spouse
MyKad/Passport No.
Phone
No. of Children
Male
Female
Occupation & Employer
Military
Home Phone
Postal Address
Office Phone
Office Fax
Suggested Date of Conversion
Suggested Place of Conversion
-Please select-
Betong
Bintulu
Kapit
Kuching
Limbang
Miri
Mukah
Samarahan
Sarikei
Serian
Sibu
Sri Aman
Reason of Conversion
-Please select-
Rela Hati
Rela Hati & Kahwin
Kahwin
Ikut Ibu/Bapa
Lain-Lain
Please Specify
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