Journaling Through “Don’t Be Sad” [ITQAN] Journaling Through "Don't Be Sad" HiddenDate Day Month Year Please be advised that this is for FEMALES ONLY. This is an ONSITE programme that will be conducted @ Al Khaadem, Kayu Ara (No Social Distancing). Date: 10 August 2024 (Saturday) Time: 10.00 AM - 11.00 AM Venue: Brother's Hub, Al Khaadem Gender: Females Only Fee: RM 50 per person* BILLING INFORMATIONFull Name* Phone Number*Please include country code (eg. 60123456789).Email Address*The payment receipt will be sent to this email address. Enter Email Confirm Email Number of participants*12345 #1 PARTICIPANT DETAILS Same as 'Billing Information'. Name Same as 'Billing Information' Phone Number Same as 'Billing Information' Email Same as 'Billing Information'Full Name* Phone Number*Please include country code (eg. 60123456789).Email Address*Program Itinerary, Course Notes and other information related to the course will be sent to this email address. Enter Email Confirm Email AgeMarriage Status Single Married Divorced/Widow/Widower Occupation Government Private Self-employed Student Homemaker Retired State*Select your StateJohorKedahKelantanMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurLabuanPutrajayaOthers (International Participants)Country* #2 PARTICIPANT DETAILSFull Name* Phone Number*Please include country code (eg. 60123456789).Email*Program Itinerary, Course Notes and other information related to the course will be sent to this email address. Same as email(s) above Enter a different email Enter Email Address* Enter Email Confirm Email AgeMarriage Status Single Married Divorced/Widow/Widower Occupation Government Private Self-employed Student Homemaker Retired Prefer Not to Answer State*Select your StateJohorKedahKelantanMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurLabuanPutrajayaOthers (International Participants)Country* #3 PARTICIPANT DETAILSFull Name* Phone Number*Please include country code (eg. 60123456789).Email*Program Itinerary, Course Notes and other information related to the course will be sent to this email address. Same as email(s) above Enter a different email Enter Email Address* Enter Email Confirm Email AgeMarriage Status Single Married Divorced/Widow/Widower Occupation Government Private Self-employed Student Homemaker Retired Prefer Not to Answer State*Select your StateJohorKedahKelantanMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurLabuanPutrajayaOthers (International Participants)Country* #4 PARTICIPANT DETAILSFull Name* Phone Number*Please include country code (eg. 60123456789).Email*Program Itinerary, Course Notes and other information related to the course will be sent to this email address. Same as email(s) above Enter a different email Enter Email Address* Enter Email Confirm Email AgeMarriage Status Single Married Divorced/Widow/Widower Occupation Government Private Self-employed Student Homemaker Retired Prefer Not to Answer State*Select your StateJohorKedahKelantanMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurLabuanPutrajayaOthers (International Participants)Country* #5 PARTICIPANT DETAILSFull Name* Phone Number*Please include country code (eg. 60123456789).Email*Program Itinerary, Course Notes and other information related to the course will be sent to this email address. Same as email(s) above Enter a different email Enter Email Address* Enter Email Confirm Email AgeMarriage Status Single Married Divorced/Widow/Widower Occupation Government Private Self-employed Student Homemaker Retired Prefer Not to Answer State*Select your StateJohorKedahKelantanMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurLabuanPutrajayaOthers (International Participants)Country* PROGRAMME FEESYour placement is only confirmed when PAYMENT IS FULLY PAID. Placement is by first come first serve basis. This is a physical-onsite event as we welcome back people to our Community Centre in Kayu Ara. No recording will be provided. No Refunds will be made for cancellation. For further clarification, please message via this WhatsApp link (Ehsan): +601151366430 Price/Participant Price: Total Fees RM 0.00 PAYMENT METHODChoose Payment Method*Online Transfer (FPX)Credit/Debit Card (Visa/Mastercard only)ATM / Direct Transfer Please transfer the total amount to: 5623 5711 4347 FOQUS AKY SDN BHD (Maybank) Keep the payment slip and upload it below:Upload Proof of Payment* Drop files here or Select files Max. file size: 1 GB. Where did you hear about this programme?* Facebook Instagram Whatsapp broadcast Al-Khaadem classes/events Qalby App Recommendations from others Al-Khaadem website Others Who?* Others* Do you have time to answer a few questions?As an organisation, we believe in continuous improvement and providing the best to our participants. Answering these questions will help us understand our audience better. Yes No QuestionsThe following questions are optional. Though, we would highly appreciate it if you are able to answer all of the following questions below.Are you a first-timer for this course?* Yes No Why are you joining again?Why are you signing up for this course?What are you expecting from this course?What problems are you currently facing with regards to Solah (Prayer)?What are your dreams with regards to Solah (Prayer)?
