Nama Penuh Peserta (HURUF BESAR) & Bilangan Ekor *
Tarikh Pilihan Aqiqah *
Nama Ibu Bapa atau Penjaga *
Alamat Pengeposan Sijil *
Apartment, suite, unit, etc. (optional) (optional)
Bandar *
Negeri *Select an option…JohorKedahKelantanLabuanMalacca (Melaka)Negeri SembilanPahangPenang (Pulau Pinang)PerakPerlisSabahSarawakSelangorTerengganuPutrajayaKuala Lumpur
Poskod *
No. Telefon (Boleh dihubungi melalui Whatsapp) *
Email *
Saya, (nama) dengan ini mewakilkan pihak jomaqiqahmekah.com untuk menguruskan aqiqah/korban bagi pihak (nama peserta ) dengan harga (RM) termasuk kos upah & pengurusan kerana Allah Ta’ala.
Online Banking (FPX)
Pay with Online Banking (FPX)
Payment Method *Choose a payment methodAffin BankAlliance Bank (Personal)AGRONetAmBankBank IslamBank MuamalatBank RakyatBank Of ChinaBSNCIMB BankHong Leong BankHSBC BankKFHMaybank2EMaybank2uMBSB BankOCBC BankPublic BankRHB BankStandard CharteredUOB Bank
Visa / Mastercard
Pay with Visa / Mastercard
Payment Method *Choose a payment methodCard (Visa/Mastercard/Maestro)Google PayApple Pay
Cardholder Name *
Card number *
Expiry (MM/YY) *
CVC *
Save to account
DuitNow QR
Pay with DuitNow QR
Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.
Place order