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BUTIRAN PENYUMBANG
NAMA PENUH
E-MEL
NO. TELEFON
-
Area Code
Phone Number
BENTUK-BENTUK SUMBANGAN UNTUK SYRIA
PILIHAN SUMBANGAN1
Please Select
SUMBANGAN PENDIDIKAN-RM30/Seorang Pelajar
SUMBANGAN MAKANAN ASAS-RM50/Satu keluarga
SUMBANGAN KIT PERUBATAN-RM50/Satu Kit
SUMBANGAN SUSU BAYI-RM30/Satu Kotak
JUMLAH BAHAGIAN SUMBANGAN
PILIHAN SUMBANGAN 2
Please Select
SUMBANGAN PENDIDIKAN-RM30/Seorang Pelajar
SUMBANGAN MAKANAN ASAS-RM50/Satu keluarga
SUMBANGAN KIT PERUBATAN-RM50/Satu Kit
SUMBANGAN SUSU BAYI-RM30/Satu Kotak
JUMLAH BAHAGIAN SUMBANGAN
PILIHAN SUMBANGAN 3
Please Select
SUMBANGAN PENDIDIKAN-RM30/Seorang Pelajar
SUMBANGAN MAKANAN ASAS-RM50/Satu keluarga
SUMBANGAN KIT PERUBATAN-RM50/Satu Kit
SUMBANGAN SUSU BAYI-RM30/Satu Kotak
JUMLAH BAHAGIAN SUMBANGAN
PILIHAN SUMBANGAN 4
Please Select
SUMBANGAN PENDIDIKAN-RM30/Seorang Pelajar
SUMBANGAN MAKANAN ASAS-RM50/Satu keluarga
SUMBANGAN KIT PERUBATAN-RM50/Satu Kit
SUMBANGAN SUSU BAYI-RM30/Satu Kotak
JUMLAH BAHAGIAN SUMBANGAN
ADAKAH ANDA MEMERLUKAN RESIT PENGECUALIAN CUKAI?
*
YA (SILA PASTIKAN BUTIRAN NAMA, NO TELEFON DAN ALAMAT ADALAH TEPAT)
TIDAK
JUMLAH SUMBANGAN (RM)
SILA KELUARKAN RESIT PENGECUALIAN CUKAI BAGI TAHUN BERIKUT
2014
MUAT NAIK BUKTI SUMBANGAN ANDA (MAYBANK : SALAM SURIAH RESOURCES : 5645-5733-8496)
*
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