Hajj 1443H Claim Form Claim IDClaimant DetailsFull Name of Claimant* Passport Number* Contact No.* Travel Agent* Proposal No. Email No. Claim DetailsDate of Clinic/Hospital Visit* MM slash DD slash YYYY Remarks*File Upload*Please scan or snap a photo of the following documents required: First consultation page of the Green Book. Original copy of itemised medical receipt. Original copy of Hospital Discharge Summary (if applicable) Drop files here or Select files Max. file size: 256 MB. Declaration* I declare that all informations are true.
