UMRAH REGISTRATION FORM

    Personal Information :

    Full Name:

    Gender:

    Date of Birth:

    Nationality:

    Passport Details:

    Passport Number:

    Date of Issue:

    Date of Expiry:

    Contact Information:

    Emergency Contact:

    Travel Information :

    Departure City:

    Preferred Departure Date:

    Room Preference

    Have you performed Umrah before?

    Do you have any medical conditions that organizers should be aware of? (Please specify):

    Are you currently on any medication? (Please specify):

    Do you have any allergies or dietary restrictions? (Please specify):

    Payment Information

    Payment Method

    Payment Details:

    Declaration:

    1. I, the undersigned, hereby declare that the information provided in this application form is true and accurate to the best of my knowledge. I understand that any false information may result in the rejection of my application.

    Submission Instructions:

    1. Please submit the completed form along with the required documents and payment to the following address:

    Note:

    1. A deposit of $2000 may be required upon the submission of the application.

    2. The organizers reserve the right to reject any application without providing a reason.

    3. All applicants are required to comply with the rules and regulations set forth by the organizing committee. Failure to do so may result in disqualification from the Umrah pilgrimage.

    Thank you for choosing Africa World Travel for your Umrah journey. May your pilgrimage be blessed and fulfilling.