Forms to Task

Borang Pengurusan Jenazah

Isikan borang di bawah untuk menghantarkan WhatsApp melalui handphone kepada kami. Terima Kasih.

1. Waris Details.

All full details are required and to be accurate as per NRIC for the purpose of registration of burial permit with NEA

Full name:

Relationship:

IC No:

Mailing address:

Contact no:

2) Jenazah details:

Jenazah Full Name:

Ic no Jenazah:

DOB Jenazah:

Residential Address Jenazah:

3) Hospital Name:

4) Address To bring Back:

5) Do you need transport for Waris?

Yes No

6) Adakah Anda atau Arwah Ahli Khairat Telok Kurau:

Yes No

No Ahli: (Jika ada) NA for not applicable