Maklumat Pemohon
Nama Mengikut Kad Pengenalan/Pasport* :
Tarikh Lahir* :
(Masukkan tarikh lahir mengikut format 'dd-mm-yyyy' )
Umur :
Tempat Lahir :
Bangsa* :
Pilih Bangsa
AFGHAN
AFRIKA
ALGERIAN
AMERIKA
ANGLO SAXON
ARAB
AUSTRALIA
AUSTRIA
BADANG
BAHRAIN
BAJAU
BALAU
BANGLADESHI
BANJAR
BATANG AI
BATU ELAH
BAWEAN
BELANDA
BELGIUM
BELOT
BERAWAN
BERTIS
BIDAYUH
BIDAYUH ATAU LAND DAYAK
BINADAN
BINTULU
BISAYA
BISAYAH
BOLONGAN
BONGOL
BOSNIA
BOYAN
BRITISH
BRUNEI
BUGIS
BUKIT
BUKITAN
BUMIPUTERA SABAH
BUMIPUTERA SARAWAK
BURMA
BURMESE
BUTON
CAMPA
CANTONESE
CAUCAGIAN
CINA
COCOS
CROTIA
DENMARK
DUMPAS
DUSUN
EGYPT
EROPAH
ERURASIAN
EURASIAN
EUROPEAN
FIJIAN
FILIPINOS
FLORES
FOOCHOW
GHANA
GREEK
GURKHA
HAINANESE
HENGHUA
HOKCHIA
HOKCHIU
HOKKIEN
IBAN ATAU SEA DAYAK
IDAHAN
ILLANUN
INDIA
INDIA MUSLIM
INDONESIAN
IRANIAN
ITALIAN
IYAKAN
JAGOI
JAKUN
JAPANESE
JAWA
JAWI PEKAN
JERMAN
JORDAN
KADAZAN
KAJAMAN
KAJANG
KANADA
KANOWIT
KAUKASIA
KAYAN
KEDAYAN
KELABIT
KEMBOJA
KENYAH
KHEK (HAKKA)
KHMER
KIPUT
KOREAN
KUNING
KWIJAU
KWONGSAI
LAHENAN
LAIN-LAIN
LAIN-LAIN ASIA
LASAU
LEMANAK
LIBYA
LINGKABAU
LIRONG
LUNDAYEH
LUSUM ATAU LUGUM
MADURA
MALABARI
MALAYALI
MALOH
MALTESE
MANGKAAK
MATAGANG
MATU
MELAING
MELANAU
MELAYU
MELAYU BUGIS
MELAYU SABAH
MELAYU SARAWAK
MELAYU SRI LANKA
MELIKIN
MENONDO
MINANGKABAU
MINOKOK
MOMOGUN
MOROCCO
MURIK
MURUT
MURUT ATAU LUN BAWANG
MYANMAR
NASRANI
NEGRITO
NEPAL
NEW ZEALAND EUROPEAN
NIGERIAN
NYAMOK
ORANG ASLI
ORANG ASLI (SEMENANJUNG)
PAITAN
PAKISTANI
PALESTINIAN
PARSI
PENAN ATAU PUNAN
PERANCIS
PORTUGESE
PUNJABI
RAMANAU
REJANG
RUNGUS
SABAH
SABAN
SAKAI
SARIBAS
SEBOB
SEBUYAU
SEDUAN
SEGALANG
SEKAPAN
SELAKAN
SELAKAU
SEMAI
SEMELAI
SENOI
SERANI
SIAM
SIAN
SIKH
SINGAPURA
SINHALESE
SINO INDIAN
SINO KADAZAN
SINO MELAYU
SINO TUTONG
SINO-NATIVE
SINULAHAN
SIPENG
SKRANG
SONSONGAN
SRI LANKA
SUDAN
SULOK
SULUK
SUNDA
SUNGAI
SWEDEN
SWISS
SYRIA
TABUN
TAGAL
TAGALOG
TAMBANUO
TAMIL
TAMIL SRI LANKA
TANJONG
TATAU
TAUP
TELEGU
TEMIAR
TEOCHEW
THAILAND
THAIS
TIADA MAKLUMAT
TIDONG
TIMOR
TINAGAS
TURKEY
TUTONG
UBIAN
UKIT
ULU AI
UNKOP
UZBEKISTAN
VIETNAMESE
VISAYAS
YAKAN
Warganegara* :
Pilih Warganegara
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KELLING) ISLANDS
COLOMBIA
COMOROS
CONGO (ZAIRE)
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLAND
COSTA RICA
COTE DIVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINIA
DOMINICAN REPUBLIC
EAST TIMOR
EGYPT
EL SALVADOR
EQUADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLAND (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JEPUN
JORDAN
KANADA
KAZAKSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLES REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLES DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIADA KEWARGANEGARAAN
TIADA MAKLUMAT
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLAND, BRITISH
VIRGIN ISLAND, U.S
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Negara Asal :
Pilih Negara Asal
AALAND ISLANDS
AFGHANISTAN
ALBANIA
ALGERIA
AMERICANSAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVETISLAND
BRAZIL
BRITISH
BRITISH INDIAN OCEANTERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINAFASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPEVERDE
CAYMANISLANDS
CENTRAL AFRICANREPUBLIC
CHAD
CHILE
CHINA
CHRISTMASISLAND
COCOS (KEELING)ISLANDS
COLOMBIA
COMOROS
CONGO, Democratic Republic of (wasZaire)
CONGO, Republicof
COOKISLANDS
COSTARICA
COTEDIVOIRE
CROATIA (local name:Hrvatska)
CUBA
CYPRUS
CZECHREPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICANREPUBLIC
ECUADOR
EGYPT
ELSALVADOR
EQUATORIALGUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS(MALVINAS)
FAROEISLANDS
FIJI
FINLAND
FRANCE
FRENCH SOUTHERNTERRITORIES
FRENCHGUIANA
FRENCHPOLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MC DONALDISLANDS
HONDURAS
HONGKONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLICOF)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLES REPUBLICOF
KOREA, REPUBLICOF
KUWAIT
KYRGYZSTAN
LAO PEOPLES DEMOCRATICREPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARABJAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, THE FORMER YUGOSLAV REPUBLICOF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALLISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATESOF
MOLDOVA, REPUBLICOF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLAND SANTILLES
NETHERLANDS
NEW ZEALAND
NEWCALEDONIA
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLKISLAND
NORTHERN MARIANAISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY,Occupied
PANAMA
PAPUA NEWGUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTORICO
QATAR
REUNION
ROMANIA
RUSSIANFEDERATION
RWANDA
SAINT KITTS ANDNEVIS
SAINT PIERRE ANDMIQUELON
SAINT VINCENT AND THEGRENADINES
SAINTHELENA
SAINTLUCIA
SAMOA
SANMARINO
SAO TOME ANDPRINCIPE
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA ANDMONTENEGRO
SEYCHELLES
SIERRALEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMONISLANDS
SOMALIA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTHAFRICA
SPAIN
SRILANKA
STATELESS2
SUDAN
SURINAME
SVALBARD AND JAN MAYENISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARABREPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLICOF
THAILAND
TIADA MAKLUMAT
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD ANDTOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOSISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYINGISLANDS
UNKNOWN2
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE (HOLYSEE)
VENEZUELA
VIETNAM
VIRGIN ISLANDS(BRITISH)
VIRGIN ISLANDS(U.S.)
WALLIS AND FUTUNAISLANDS
WESTERNSAHARA
YEMEN
ZAMBIA
ZIMBABWE
Status* :
Pilih Status
TERUNA
BERISTERI
DUDA
Pendidikan Tertinggi* :
Pilih Pendidikan Tertinggi
DOKTOR FALSAFAH ( PH. D )
SARJANA
SARJANA MUDA DENGAN KEPUJIAN
SARJANA MUDA
DIPLOMA LEPASAN IJAZAH
DIPLOMA LANJUTAN
DIPLOMA
SIJIL
STPM DAN SETARAF
SENIOR CAMBRIDGE CERTIFICATION
SPM / SPMV DAN SETARAF
PMR/SRP DAN SETARAF
SEKOLAH RENDAH
SEKOLAH PONDOK
LAIN-LAIN
Tarikh Masuk Islam (bagi Saudara Baru) :
(Masukkan tarikh masuk Islam mengikut format 'dd-mm-yyyy' )
Status OKU :
YA
Sila Pilih Kategori OKU
KURANG UPAYA PENDENGARAN
KURANG UPAYA PENGLIHATAN
KURANG UPAYA PERTUTURAN
KURANG UPAYA FIZIKAL
MASALAH PEMBELAJARAN
KURANG UPAYA MENTAL
KURANG UPAYA PELBAGAI
Alamat Tetap
Alamat Tempat Tinggal
Maklumat Pekerjaan
Maklumat Pemohon
Nama Mengikut Kad Pengenalan/Pasport* :
Tarikh Lahir* :
(Masukkan tarikh lahir mengikut format 'dd-mm-yyyy' )
Umur :
Tempat Lahir :
Bangsa* :
Pilih Bangsa
AFGHAN
AFRIKA
ALGERIAN
AMERIKA
ANGLO SAXON
ARAB
AUSTRALIA
AUSTRIA
BADANG
BAHRAIN
BAJAU
BALAU
BANGLADESHI
BANJAR
BATANG AI
BATU ELAH
BAWEAN
BELANDA
BELGIUM
BELOT
BERAWAN
BERTIS
BIDAYUH
BIDAYUH ATAU LAND DAYAK
BINADAN
BINTULU
BISAYA
BISAYAH
BOLONGAN
BONGOL
BOSNIA
BOYAN
BRITISH
BRUNEI
BUGIS
BUKIT
BUKITAN
BUMIPUTERA SABAH
BUMIPUTERA SARAWAK
BURMA
BURMESE
BUTON
CAMPA
CANTONESE
CAUCAGIAN
CINA
COCOS
CROTIA
DENMARK
DUMPAS
DUSUN
EGYPT
EROPAH
ERURASIAN
EURASIAN
EUROPEAN
FIJIAN
FILIPINOS
FLORES
FOOCHOW
GHANA
GREEK
GURKHA
HAINANESE
HENGHUA
HOKCHIA
HOKCHIU
HOKKIEN
IBAN ATAU SEA DAYAK
IDAHAN
ILLANUN
INDIA
INDIA MUSLIM
INDONESIAN
IRANIAN
ITALIAN
IYAKAN
JAGOI
JAKUN
JAPANESE
JAWA
JAWI PEKAN
JERMAN
JORDAN
KADAZAN
KAJAMAN
KAJANG
KANADA
KANOWIT
KAUKASIA
KAYAN
KEDAYAN
KELABIT
KEMBOJA
KENYAH
KHEK (HAKKA)
KHMER
KIPUT
KOREAN
KUNING
KWIJAU
KWONGSAI
LAHENAN
LAIN-LAIN
LAIN-LAIN ASIA
LASAU
LEMANAK
LIBYA
LINGKABAU
LIRONG
LUNDAYEH
LUSUM ATAU LUGUM
MADURA
MALABARI
MALAYALI
MALOH
MALTESE
MANGKAAK
MATAGANG
MATU
MELAING
MELANAU
MELAYU
MELAYU BUGIS
MELAYU SABAH
MELAYU SARAWAK
MELAYU SRI LANKA
MELIKIN
MENONDO
MINANGKABAU
MINOKOK
MOMOGUN
MOROCCO
MURIK
MURUT
MURUT ATAU LUN BAWANG
MYANMAR
NASRANI
NEGRITO
NEPAL
NEW ZEALAND EUROPEAN
NIGERIAN
NYAMOK
ORANG ASLI
ORANG ASLI (SEMENANJUNG)
PAITAN
PAKISTANI
PALESTINIAN
PARSI
PENAN ATAU PUNAN
PERANCIS
PORTUGESE
PUNJABI
RAMANAU
REJANG
RUNGUS
SABAH
SABAN
SAKAI
SARIBAS
SEBOB
SEBUYAU
SEDUAN
SEGALANG
SEKAPAN
SELAKAN
SELAKAU
SEMAI
SEMELAI
SENOI
SERANI
SIAM
SIAN
SIKH
SINGAPURA
SINHALESE
SINO INDIAN
SINO KADAZAN
SINO MELAYU
SINO TUTONG
SINO-NATIVE
SINULAHAN
SIPENG
SKRANG
SONSONGAN
SRI LANKA
SUDAN
SULOK
SULUK
SUNDA
SUNGAI
SWEDEN
SWISS
SYRIA
TABUN
TAGAL
TAGALOG
TAMBANUO
TAMIL
TAMIL SRI LANKA
TANJONG
TATAU
TAUP
TELEGU
TEMIAR
TEOCHEW
THAILAND
THAIS
TIADA MAKLUMAT
TIDONG
TIMOR
TINAGAS
TURKEY
TUTONG
UBIAN
UKIT
ULU AI
UNKOP
UZBEKISTAN
VIETNAMESE
VISAYAS
YAKAN
Warganegara* :
Pilih Warganegara
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KELLING) ISLANDS
COLOMBIA
COMOROS
CONGO (ZAIRE)
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLAND
COSTA RICA
COTE DIVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINIA
DOMINICAN REPUBLIC
EAST TIMOR
EGYPT
EL SALVADOR
EQUADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLAND (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JEPUN
JORDAN
KANADA
KAZAKSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLES REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLES DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIADA KEWARGANEGARAAN
TIADA MAKLUMAT
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLAND, BRITISH
VIRGIN ISLAND, U.S
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Negara Asal :
Pilih Negara Asal
AALAND ISLANDS
AFGHANISTAN
ALBANIA
ALGERIA
AMERICANSAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVETISLAND
BRAZIL
BRITISH
BRITISH INDIAN OCEANTERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINAFASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPEVERDE
CAYMANISLANDS
CENTRAL AFRICANREPUBLIC
CHAD
CHILE
CHINA
CHRISTMASISLAND
COCOS (KEELING)ISLANDS
COLOMBIA
COMOROS
CONGO, Democratic Republic of (wasZaire)
CONGO, Republicof
COOKISLANDS
COSTARICA
COTEDIVOIRE
CROATIA (local name:Hrvatska)
CUBA
CYPRUS
CZECHREPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICANREPUBLIC
ECUADOR
EGYPT
ELSALVADOR
EQUATORIALGUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS(MALVINAS)
FAROEISLANDS
FIJI
FINLAND
FRANCE
FRENCH SOUTHERNTERRITORIES
FRENCHGUIANA
FRENCHPOLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MC DONALDISLANDS
HONDURAS
HONGKONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLICOF)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLES REPUBLICOF
KOREA, REPUBLICOF
KUWAIT
KYRGYZSTAN
LAO PEOPLES DEMOCRATICREPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARABJAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, THE FORMER YUGOSLAV REPUBLICOF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALLISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATESOF
MOLDOVA, REPUBLICOF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLAND SANTILLES
NETHERLANDS
NEW ZEALAND
NEWCALEDONIA
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLKISLAND
NORTHERN MARIANAISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY,Occupied
PANAMA
PAPUA NEWGUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTORICO
QATAR
REUNION
ROMANIA
RUSSIANFEDERATION
RWANDA
SAINT KITTS ANDNEVIS
SAINT PIERRE ANDMIQUELON
SAINT VINCENT AND THEGRENADINES
SAINTHELENA
SAINTLUCIA
SAMOA
SANMARINO
SAO TOME ANDPRINCIPE
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA ANDMONTENEGRO
SEYCHELLES
SIERRALEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMONISLANDS
SOMALIA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTHAFRICA
SPAIN
SRILANKA
STATELESS2
SUDAN
SURINAME
SVALBARD AND JAN MAYENISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARABREPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLICOF
THAILAND
TIADA MAKLUMAT
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD ANDTOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOSISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYINGISLANDS
UNKNOWN2
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE (HOLYSEE)
VENEZUELA
VIETNAM
VIRGIN ISLANDS(BRITISH)
VIRGIN ISLANDS(U.S.)
WALLIS AND FUTUNAISLANDS
WESTERNSAHARA
YEMEN
ZAMBIA
ZIMBABWE
Status* :
Pilih Status
DARA
JANDA
BALU
THAYYIB
BERSUAMI
Pendidikan Tertinggi* :
Pilih Pendidikan Tertinggi
DOKTOR FALSAFAH ( PH. D )
SARJANA
SARJANA MUDA DENGAN KEPUJIAN
SARJANA MUDA
DIPLOMA LEPASAN IJAZAH
DIPLOMA LANJUTAN
DIPLOMA
SIJIL
STPM DAN SETARAF
SENIOR CAMBRIDGE CERTIFICATION
SPM / SPMV DAN SETARAF
PMR/SRP DAN SETARAF
SEKOLAH RENDAH
SEKOLAH PONDOK
LAIN-LAIN
Tarikh Masuk Islam (bagi Saudara Baru) :
(Masukkan tarikh masuk Islam mengikut format 'dd-mm-yyyy' )
Status OKU :
YA
Sila Pilih Kategori OKU
KURANG UPAYA PENDENGARAN
KURANG UPAYA PENGLIHATAN
KURANG UPAYA PERTUTURAN
KURANG UPAYA FIZIKAL
MASALAH PEMBELAJARAN
KURANG UPAYA MENTAL
KURANG UPAYA PELBAGAI
Alamat Tetap
Alamat Tempat Tinggal
Maklumat Pekerjaan
Maklumat Mas Kahwin / Hantaran
Status Lelaki
Status Perempuan
Permohonan Kebenaran Berkahwin dan
Cadangan tarikh pernikahan pada di
MAKLUMAT PERAKUAN
Saya mengaku bahawa segala maklumat yang terkandung dalam permohonan ini adalah benar dan sekiranya maklumat ini palsu, saya telah melakukan kesalahan dan boleh diambil tindakan di bawah undang-undang yang telah ditetapkan. Jabatan Agama Islam Negeri (JAIN) tidak bertanggungjawab atas kerugian atau pemalsuan maklumat yang diberikan oleh saya dan saya tidak akan mengambil tindakan undang-undang.
Pastikan anda telah menyemak semua maklumat yang telah dimasukkan.
Klik pada butang Kembali di bawah untuk menyemak semula setiap maklumat yang telah diisi.
Klik pada butang Hantar untuk memulakan proses permohonan Kebenaran Nikah anda dan pasangan.
No Rujukan Permohonan:
Permohonan Kebenaran Berkahwin dan
Cadangan tarikh pernikahan pada di
,
Sila CETAK borang dan Senarai Semak Permohonan melalui link "Cetak Borang" dan "Cetak Senarai Semak" di bawah.
e-mel notifikasi bersama borang dan senarai semak permohonan akan dihantar kepada alamat e-mel anda dalam masa terdekat.
Anda dan pasangan dikehendaki hadir ke Pejabat Agama Islam Daerah masing-masing
bagi proses kelulusan permohonan.
Proses kelulusan bagi permohonan perempuan akan hanya diberikan selepas permohonan kebenaran nikah lelaki diluluskan.
Sila rujuk di bawah bagi maklumat PAID serta senarai dokumen sokongan yang diperlukan bagi setiap pemohon:
Pemohon Lelaki
Sila hadir ke:
Loading map...
Lokasi Pejabat Agama Islam tidak dapat ditentukan. Maklumat daerah/kariah pemohon lelaki kosong. Sila semak dan isi maklumat daerah/kariah pemohon lelaki.
Dokumen yang diperlukan:
Pemohon Perempuan
Sila hadir ke:
Loading map...
Lokasi Pejabat Agama Islam tidak dapat ditentukan. Maklumat daerah/kariah pemohon perempuan kosong. Sila semak dan isi maklumat daerah/kariah pemohon perempuan.
Dokumen yang diperlukan: