Booking Form

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Providing reliable Hajj and Umrah services to Muslims in Nigeria and Canada.

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First & others Names (as written on the passport) *

Passport Issuing Country

Passport #

Last Name (as written on the passport) *

Passport Type

Regular
Travel document

Gender

Male
Female

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Date of Birth

Applicant age (at time of travel)

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Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Email *

Select Package *

Hajj
Umrah

Canadian Cell Phone *

Whatsapp Number (Must be an individual number for each applicant, this # will be add it to “Your Hajj group” for communications and updates) *

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Emergency Contact Name *

Emergency Contact Phone Number *

Relationship *

Wish To Include Travel Insurance

Click to affirm

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Upload both side of your permanent resident card (If applicable)

Click or drag files to this area to upload. You can upload up to 2 files.

Upload Your Passport Scan Copy (JPEG) *

Click or drag a file to this area to upload.

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Please upload a recent photo *

Click or drag a file to this area to upload.

Term & Conditions *

Review & accept the Terms and Conditions, and request for Kasfah Hajj staff to contact me to complete my application.

invest@liquid.com

14th Street, Soho

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Note:

Kasfah Packages

Services

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