Qurban & Aqiqah ORDER FORM
HALTEX GROUP PTE LTD
111 North Bridge Road, #21-01 Peninsular Plaza Singapore
179098 Tel: 65074500 Fax: 63384277

Payment Details via Telegraphic Transfer

Account Name.     : Haltex Group Pte Ltd
Account Number  : 364 326 733 9 (SGD)
Bank Name           : United Overseas Bank Limited
Branch Name       : Parkway Parade Branch
Bank Code            : 7375
Branch Code        : 036
Swift Code           : UOVBSGSG
Bank Address      : 80 Marine Parade Road
                                #01-13 Parkway Parade Singapore 449269

Payment Details via PayNow:  UEN 201026654M001 (Haltex Group Pte Ltd)

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Name of Registrant *
(Full name as in Identity Card)
Mobile No *
Home Tel No.
Home Address *
Email *
Purpose
Please note that those performing Nazar is not allowed to eat from meat of the sacrifice
Qurban
Aqiqah
Nazar
Sheep
Lamb
Clear selection
Animal Portion
1/3
2/3
Full
Sheep
Lamb
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Select Delivery Method:  Sunday 9 August 2020 *
Home Delivery 9 Aug - Address *
Additional Registrant #1 ( if any )
Animal Type
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Purpose
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Animal Quantity for Additional Registrant #1
Animal Portion Requested by Additional Registrant  #1
Clear selection
Select Delivery Method: Sunday 9 August 2020
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Delivery Address (if different from above)
Please also include contact details
Additional Registrant #2 (if any)
Animal Type
Clear selection
Purpose
Clear selection
Animal Quantity
Animal Portion Requested by Additional Registrant #2
Clear selection
Select Delivery Method: Sunday 9 August 2020
Clear selection
Delivery Address (if different from above)
Please also include contact details
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Additional Name of Family Members (if any)
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Additional Name of Family Members (if any)
Please Indicate next to name Animal Type/Quantity/Portions
Sheep quantity
(Leave empty if not relevant)
Lamb quantity
(Leave empty if not relevant)
Lamb - List of Name for myself/family members:
(Leave empty if not relevant)
Participant of NAZAR is not allowed to eat from the meat of his/her Nazar's. *
(Please indicate the preferred distributions portion)
How do you know of our Qorban/Aqiqah/Nazar services?
How do you know of our Qorban/Aqiqah/Nazar services?
Haltex Group Pte Ltd
Payment Details via Telegraphic Transfer / PayNow
HALTEX GROUP PTE LTD
111 North Bridge Road, #21-01 Peninsular Plaza Singapore
179098 Tel: 65074500 Fax: 63384277

Payment Details via Telegraphic Transfer

Account Name.     : Haltex Group Pte Ltd
Account Number  : 364 326 733 9 (SGD)
Bank Name           : United Overseas Bank Limited
Branch Name       : Parkway Parade Branch
Bank Code            : 7375
Branch Code        : 036
Swift Code           : UOVBSGSG
Bank Address      : 80 Marine Parade Road
                                #01-13 Parkway Parade Singapore 449269

Payment Details via PayNow:  UEN 201026654M001 (Haltex Group Pte Ltd)

Please SMS or WhatsApp to Mr Esa at +65 9323 8578 or Mr Iqbal at +65 8484 3458 your proof of payment.  All orders need to be accompanied by payment to be accepted as a confirmed order.

Payment Details via Telegraphic Transfer / PayNow
HALTEX GROUP PTE LTD
111 North Bridge Road, #21-01 Peninsular Plaza Singapore
179098 Tel: 65074500 Fax: 63384277

Payment Details via Telegraphic Transfer

Account Name.     : Haltex Group Pte Ltd
Account Number  : 364 326 733 9 (SGD)
Bank Name           : United Overseas Bank Limited
Branch Name       : Parkway Parade Branch
Bank Code            : 7375
Branch Code        : 036
Swift Code           : UOVBSGSG
Bank Address      : 80 Marine Parade Road
                                #01-13 Parkway Parade Singapore 449269

Payment Details via PayNow:  UEN 201026654M001 (Haltex Group Pte Ltd)

Please SMS or WhatsApp to Mr Esa at +65 9323 8578 or Mr Iqbal at +65 8484 3458 your proof of payment.  All orders need to be accompanied by payment to be accepted as a confirmed order.

Payment Details via Telegraphic Transfer / PayNow
HALTEX GROUP PTE LTD
111 North Bridge Road, #21-01 Peninsular Plaza Singapore
179098 Tel: 65074500 Fax: 63384277

Payment Details via Telegraphic Transfer

Account Name.     : Haltex Group Pte Ltd
Account Number  : 364 326 733 9 (SGD)
Bank Name           : United Overseas Bank Limited
Branch Name       : Parkway Parade Branch
Bank Code            : 7375
Branch Code        : 036
Swift Code           : UOVBSGSG
Bank Address      : 80 Marine Parade Road
                                #01-13 Parkway Parade Singapore 449269

Payment Details via PayNow:  UEN 201026654M001 (Haltex Group Pte Ltd)

Please SMS or WhatsApp to Mr Esa at +65 9323 8578 or Mr Iqbal at +65 8484 3458 your proof of payment.  All orders need to be accompanied by payment to be accepted as a confirmed order.

Payment Details via Telegraphic Transfer / PayNow
HALTEX GROUP PTE LTD
111 North Bridge Road, #21-01 Peninsular Plaza Singapore
179098 Tel: 65074500 Fax: 63384277

Payment Details via Telegraphic Transfer

Account Name.     : Haltex Group Pte Ltd
Account Number  : 364 326 733 9 (SGD)
Bank Name           : United Overseas Bank Limited
Branch Name       : Parkway Parade Branch
Bank Code            : 7375
Branch Code        : 036
Swift Code           : UOVBSGSG
Bank Address      : 80 Marine Parade Road
                                #01-13 Parkway Parade Singapore 449269

Payment Details via PayNow:  UEN 201026654M001 (Haltex Group Pte Ltd)

Please SMS or WhatsApp to Mr Esa at +65 9323 8578 or Mr Iqbal at +65 8484 3458 your proof of payment.  All orders need to be accompanied by payment to be accepted as a confirmed order.

Payment Details via Telegraphic Transfer / PayNow
HALTEX GROUP PTE LTD
111 North Bridge Road, #21-01 Peninsular Plaza Singapore
179098 Tel: 65074500 Fax: 63384277

Payment Details via Telegraphic Transfer

Account Name.     : Haltex Group Pte Ltd
Account Number  : 364 326 733 9 (SGD)
Bank Name           : United Overseas Bank Limited
Branch Name       : Parkway Parade Branch
Bank Code            : 7375
Branch Code        : 036
Swift Code           : UOVBSGSG
Bank Address      : 80 Marine Parade Road
                                #01-13 Parkway Parade Singapore 449269

Payment Details via PayNow:  UEN 201026654M001 (Haltex Group Pte Ltd)

Please SMS or WhatsApp to Mr Esa at +65 9323 8578 or Mr Iqbal at +65 8484 3458 your proof of payment.  All orders need to be accompanied by payment to be accepted as a confirmed order.

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