“The flesh and the blood of the animals does not reach Allah, but what reaches Him is (the spirit of) your piety”. Al Hajj 22:37 The offering of sacrifice during Eid’ul Adha shall be performed in Indonesia. Please submit this form to undermentioned officials. Alhamdulillah. Sepertimana tahun-tahun yang sudah Ibadah Qurban dan Aqiqah telah kami laksanakan dengan jayanya di Indonesia. Sila isi borang dan serah pada pegawai pegawai dari Khanqah Khairiyah. Names of officials (Pegawai): Abdul Aleem H/P 93650534 Mohamed Siddiqe H/P 96316395

QURBAN AQIQAH

QURBAN ARWAH NAZAR QURBAN AQIQAH

QURBAN ARWAH NAZAR QURBAN AQIQAH

QURBAN ARWAH NAZAR QURBAN AQIQAH

QURBAN ARWAH NAZAR QURBAN AQIQAH

QURBAN ARWAH NAZAR

JUMLAH KAMBING - TOTAL AMOUNT OF GOATS + =

Please recite the following Amanah as follows:- I (Name) wish to offer Qurban/Akikah/Qurban Arwah/Nazar and handover

these Amanah to the appropriate person.

Sila lafazkan Amanah: – Saya; (sebut Nama) ingin menunaikan Ibadah Qurban/Aqiqah/Qurban Arwah/Nazar dan

menyerahkan Amanah kepada pihak yang menerima-nya.

Name/Nama:_________________________ Signature / TandaTangan : ______________________

Name :___________________________________ Tel No. _______________

Block : ______________#______--____________ Cheque No. ___________

_________________________________________ *Please Tick For E-Receipt

Singapore ________________________________ *Email____________________

Received By ____________________

No. Name (Please indicate if deceased – eg. Almarhum) Nama (Menyatakan Jikalau Untok Arwah)

Type of Sacrifice and Qty of Goats Memilih Hajat dan Jumlah Ekor Kambing

Tag

Goat -Kambing

S$180

Thanks for choosing Khanqah Khairiyah to perform your Ibadah Qurban! Date : - - 20 Please visit khairiyah.org to view Qurban List No. Q A D N Received sum of SGD _____________________________________being payment of Qurban 20

S$

S$ DONATION/DERMA

SADAQAH - ZAKAT

www.khairiyah.org ية قاه خير Q G خان ر

Google Play Store App : IBADAH QURBAN DB R Khairiyah Qurban OFFER OF SACRIFICE / AQIQAH 426 Siglap Road, Singapore 455933 FROM