Khalid Bin Al-Walid Mosque

Umrah Registration Form

If you're interested to go to Umrah with Khalid Mosque, please fill the form below and someone will contact you in the next one week.

[Please note that this is NOT the official application form.]

If there is a space left, we'll FIRST call you, and then you will fill up the real application form with address. But for now, you must fill this form below first so that we can contact you! Thank You.

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Email Address *

First Name

Last Name

Phone Number