Payment Form

PAYMENT FORM
Name : *
Email *
Amount Paid *	RM Ringgit . Sen
Date of Payment : *
Balance Money (if any)
Paid to : *	Maybank    Public Bank   Bank Islam
Payment Method *	Cash Deposit (Machine/Counter)   Fund Transfer (Machine/Online)   Interbank Transfer
Prove of Payment (bank slip/screen cap must be clear enough to be seen) *

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