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ZamZam

Hajj

Group

Hajj Application

Please read carefully and fill up the following form.

1. Personal Details

Mrs Given Name (s): Fathers Name: Postal Address:

Ms

Miss

Mr

Dr

Family Name: Mothers Name:

Other

Country:

Post Code:

Phone Number *

Home: Mobile:

(

)

Work:

(

)

  • *

    Please tick preferred contact number

Email:

Emergency contacts:

Name:

Contact Details:

Relationship

3. Are you legally entitled to live in Australia?

Yes, I am an Australian or permanent resident

No, I am not

Yes, I hold a vaild Visa Passport Number:

Type:

Expiry Date: Issue Date:

Issued At:

Expiry Date:

5. Please state occupation

No

3. Do you Smoke?

Ye

s

4. Are you currently employed?

No

Yes (Go to Q5)

/ /

/

/ /20

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6. Please Specify your destination:

Sydney-Jeddah-Sydney

Add other destinations

7. Do you suffer from any serious illness?

No

Yes, Please specify

1. Name:

Relationship:

2. Name:

Relationship:

3. Name:

Relationship:

4. Name:

Relationship:

8. Are you accompanying anyone with you on this Hajj Trip?

No

Yes, Please specify their names

I acknowledge and agree that the following terms and conditions form part of my contract with the Zamzam Hajj Group in the provision of the Hajj Services to Saudi Arabia. Furthermore, I acknowledge and agree that my Hajj Package (costing $6,800) includes my:

9. (For Females) What's the name of your Mahram? Please Read Carefully

Relationship

1. 2. 3.

4. 5. 6. 7.

8. 9.

10.

Hajj visa/permit to enter the Hajj Precincts of Saudi Arabia; Hajj service and transport fee (Mutaweff fee) in Saudi Arabia; Return airline tickets (with either Emirates or Etihad Airlines) from Australia to Saudi Arabia and back (where I further acknowledge that a minimum of $200 will apply for any further destination); Hajj sacrifice fee (Od’Heyiah); Meals in Mina and on the day of Arafa’t; 10 liters of ZamZam water; 8 days (8 nights) accommodation in Medina’s AlDeyar International Hotel (where I further acknowledge and agree to share my room/accommodation with either of 3 to 4 other individuals) with daily open buffet for breakfast; 8 days (7 nights) accommodation in Mecca’s Zamzam Hotel (where I further acknowledge and agree to share my room/accommodation with 3 to 4 other individuals); 10 days (10 nights) accommodation (End of the Hajj) in an apartment in Shisha/Azizia (Suburban Mecca) (where I further acknowledge and agree to share my room/

accommodation with 4 to 5 other individuals and my toilet/bathroom between 9 other individuals); I agree to abide by the following:

  • I will at all times respect and care for my fellow Haji’s whether in my rooms in Mecca/Medina (without complaint);

  • I also agree to follow any and all instructions given by the hajj organisers and guides;

  • I will not be abusive or disrespectful to anyone specially the Zamzam Hajj Group organisers;

  • I am responsible for any of my lost property, and I understand and that the Zamzam Hajj Group will not be held liable in this respect. Pay a deposit of 25% to se-

cure my booking and visa.

WARNING: A cancellation fee of an amount equivalent to the deposit is applicable in the event that I cancel this agreement.

I understand that providing false information or withholding information relevant to my application with the Zamzam Hajj Group may result in the withdrawal or termination of the contract.

Signature:

Dated:

/

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