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Recurring Donation
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Recurring Donation
Fullname*
Email*
Phone Number*
ID Type*
IC Number
Passport
ID Number*
Donation Amount*
RM 88
RM 188
RM 288
RM 388
RM 488
RM 588
Payment Method*
Online Banking
Personal Account
Business Account
Credit/Debit Card
Frequency*
--Please Select--
Purpose of Payment*
I fully understand and agree to the
Terms & Conditions
of Direct Debit services and I acknowledge that upon successful completion of this online application, RM 1.00 shall be debited from my selected account for the purpose of application for this service and the amount shall be refunded to me by
.
