TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN

Direct Debit Enrolment / Persetujuan Pemotongan Terus

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Personal Detail / Butiran Peribadi

Full Name / Nama Penuh

Identity Type / Jenis Identiti

Identity Value / Butiran Identiti

Telephone Number / Nombor Telefon

E-Mail / e-mel

Payment Information / Butiran Pembayaran

Purpose of Payment / Tujuan Pembayaran

Payer Bank / Bank Pembayar

I fully understand and agree to Terms & Condition of Direct Debit services and I acknowledge that upon successful completion of this online application, RM 1.00 shall be debited from my selected account to ensure the account is active for the purpose of application of for this service. Please note that TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN at its sole discretion may refund the RM 1.00 subject to its own Terms & Condition. Please contact TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN for futher detail. /
Saya setuju dan terima Terma & Syarat Perkhidmatan Direct Debit dan saya mengakui bahawa apabila permohonan dalam talian ini berjaya dilengkapkan, RM 1.00 akan didebitkan daripada akaun pilihan saya untuk memastikan akaun tersebut aktif untuk tujuan permohonan perkhidmatan ini. Sila ambil perhatian bahawa TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN atas budi bicara boleh memulangkan RM 1.00 tertakluk kepada Terma & Syaratnya sendiri. Sila hubungi TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN untuk butiran lanjut.

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Full Name / Nama Penuh

Identity Type / Jenis Identiti

Identity Value / Butiran Identiti

Mobile Number / No. Telefon

Purpose of Payment / Tujuan Pembayaran

Amount / Jumlah

Payer Bank /Bank Pembayar

I understand and agree to Terms & Condition of TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN that RM 1.00 will be utilised as ValuePay administration fee and RM will be deducted from the same bank account on monthly basis for the same purpose of payment. /
Saya setuju dan terima dengan terma & syarat yang dinyatakan TABUNG PUSAT PENGAJIAN ISLAM AT-TAIYYIBIN bahawa RM 1.00 sebagai yuran pentadbiran ValuePay dan RM akan ditolak dari akaun bank yang sama setiap bulan untuk tujuan pembayaran ini.