ustazlah-official.com
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Submitted URL: http://ustazlah-official.com/
Effective URL: https://ustazlah-official.com/order/form/3s
Submission: On August 03 via api from NL — Scanned from SG
Effective URL: https://ustazlah-official.com/order/form/3s
Submission: On August 03 via api from NL — Scanned from SG
Form analysis 1 forms found in the DOM
POST https://ustazlah-official.com/order/submit
<form class="form-horizontal" id="order_form" role="form" action="https://ustazlah-official.com/order/submit" method="post" enctype="multipart/form-data" target="_top" style="position:relative" novalidate="novalidate">
<input type="hidden" id="form_id" name="form_id" value="6">
<input type="hidden" id="refcode" name="refcode" value="26c9a3b1f87a8d7466ae66a6ef8182da">
<h2 class="section-header"> BUTIRAN PEMBELIAN</h2>
<table class="table table-condensed table-hover purchase_details">
<thead>
<tr>
<th>Produk</th>
<th>Kuantiti<span class="glyphicon glyphicon-asterisk red-asterisk"></span></th>
<th>Harga (RM)</th>
</tr>
</thead>
<tbody>
<tr class="product" data-position="0" data-id="11">
<td>
<img class="product-picture-thumb lazyload" data-src="https://ustazlah-official.com/media/products/thumb/11-1%20botol%20pakej%20trial-1722503222.jpg">
<div class="product-name">Pakej Trial RM69 + FREE SHIPPING - (TOTAL JIMAT RM81)</div>
</td>
<td class="" style="">
<input type="hidden" name="product_ids[0]" value="11">
<div class="">
<select class="form-control quantity" name="product_quantities[0]">
<option value="0" selected="">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
<option value="69">69</option>
<option value="70">70</option>
<option value="71">71</option>
<option value="72">72</option>
<option value="73">73</option>
<option value="74">74</option>
<option value="75">75</option>
<option value="76">76</option>
<option value="77">77</option>
<option value="78">78</option>
<option value="79">79</option>
<option value="80">80</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="83">83</option>
<option value="84">84</option>
<option value="85">85</option>
<option value="86">86</option>
<option value="87">87</option>
<option value="88">88</option>
<option value="89">89</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="96">96</option>
<option value="97">97</option>
<option value="98">98</option>
<option value="99">99</option>
<option value="100">100</option>
</select>
</div>
</td>
<td class="subtotal-price">0.00</td>
</tr>
<tr class="product" data-position="1" data-id="12">
<td>
<img class="product-picture-thumb lazyload" data-src="https://ustazlah-official.com/media/products/thumb/12-2%20botol%20best%20seller-1722503190.jpg">
<div class="product-name">BEST SELLER RM138 + FREE SHIPPING - (TOTAL JIMAT RM162)</div>
</td>
<td class="" style="">
<input type="hidden" name="product_ids[1]" value="12">
<div class="">
<select class="form-control quantity" name="product_quantities[1]">
<option value="0" selected="">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
<option value="69">69</option>
<option value="70">70</option>
<option value="71">71</option>
<option value="72">72</option>
<option value="73">73</option>
<option value="74">74</option>
<option value="75">75</option>
<option value="76">76</option>
<option value="77">77</option>
<option value="78">78</option>
<option value="79">79</option>
<option value="80">80</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="83">83</option>
<option value="84">84</option>
<option value="85">85</option>
<option value="86">86</option>
<option value="87">87</option>
<option value="88">88</option>
<option value="89">89</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="96">96</option>
<option value="97">97</option>
<option value="98">98</option>
<option value="99">99</option>
<option value="100">100</option>
</select>
</div>
</td>
<td class="subtotal-price">0.00</td>
</tr>
<tr class="product" data-position="2" data-id="13">
<td>
<img class="product-picture-thumb lazyload" data-src="https://ustazlah-official.com/media/products/thumb/13-3%20botol%20pakej%20jimat-1722503166.jpg">
<div class="product-name">Pakej Jimat RM207 + FREE SHIPPING - (JIMAT RM243)</div>
</td>
<td class="" style="">
<input type="hidden" name="product_ids[2]" value="13">
<div class="">
<select class="form-control quantity" name="product_quantities[2]">
<option value="0" selected="">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
<option value="69">69</option>
<option value="70">70</option>
<option value="71">71</option>
<option value="72">72</option>
<option value="73">73</option>
<option value="74">74</option>
<option value="75">75</option>
<option value="76">76</option>
<option value="77">77</option>
<option value="78">78</option>
<option value="79">79</option>
<option value="80">80</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="83">83</option>
<option value="84">84</option>
<option value="85">85</option>
<option value="86">86</option>
<option value="87">87</option>
<option value="88">88</option>
<option value="89">89</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="96">96</option>
<option value="97">97</option>
<option value="98">98</option>
<option value="99">99</option>
<option value="100">100</option>
</select>
</div>
</td>
<td class="subtotal-price">0.00</td>
</tr>
<tr>
<td class="bold-right">JUMLAH</td>
<td class="bold total-quantity" style="">0</td>
<td class="bold total-price">0.00</td>
</tr>
</tbody>
</table>
<table class="table table-condensed purchase_details" style="margin-top:-20px">
<tbody>
<tr>
<td colspan="3">
<div class="form-group offset-0 " style="margin-bottom:0">
<input type="text" id="total_quantity" name="total_quantity" value="0" style="visibility:hidden;position:absolute" class="valid" aria-invalid="false">
</div>
<div class="form-group offset-0 " style="margin-bottom:0">
<input type="text" id="total_price" name="total_price" value="" style="visibility:hidden;position:absolute">
</div>
</td>
</tr>
<tr>
<td colspan="2" class="bold-right" style="font-size:16px">JUMLAH KESELURUHAN (RM) <input type="hidden" id="total_amount" name="total_amount" value="0.00"></td>
<td class="bold-right total-amount" style="font-size:16px">0.00</td>
</tr>
<tr style="">
<td colspan="2" class="bold-right">Caj Perkhidmatan Peniaga (RM)</td>
<td class="bold-right" id="handling-charge">1.10</td>
</tr>
</tbody>
</table>
<br>
<h2 class="section-header"> BUTIRAN PELANGGAN</h2>
<div class="form-group">
<div class="col-md-9 col-md-offset-3">
</div>
</div>
<div class="form-group ">
<label for="client_fullname" class="control-label col-md-3">Nama<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<input type="text" class="form-control" id="client_fullname" name="client_fullname" placeholder="Masukkan nama anda..." maxlength="50" value="" autocomplete="name">
</div>
</div>
<div class="form-group ">
<label for="client_email" class="control-label col-md-3">Emel<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<input type="email" class="form-control" id="client_email" name="client_email" placeholder="Masukkan emel anda..." maxlength="100" value="" autocomplete="email">
<span class="help-block" id="client_email_warning" style="display:none;margin-top:5px"></span>
</div>
</div>
<div class="form-group ">
<label for="client_phone_number" class="control-label col-md-3">Nombor HP<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<select class="form-control" id="client_phone_dial_code" name="client_phone_dial_code" style="margin-bottom:10px" autocomplete="tel-country-code">
<option value="">Pilih kod dail negara untuk nombor telefon bimbit anda...</option>
<option value="93">Afghanistan (+93)</option>
<option value="355">Albania (+355)</option>
<option value="213">Algeria (+213)</option>
<option value="1 684">American Samoa (+1 684)</option>
<option value="376">Andorra (+376)</option>
<option value="244">Angola (+244)</option>
<option value="1 264">Anguilla (+1 264)</option>
<option value="672">Antarctica (+672)</option>
<option value="1 268">Antigua and Barbuda (+1 268)</option>
<option value="54">Argentina (+54)</option>
<option value="374">Armenia (+374)</option>
<option value="297">Aruba (+297)</option>
<option value="61">Australia (+61)</option>
<option value="43">Austria (+43)</option>
<option value="994">Azerbaijan (+994)</option>
<option value="1 242">Bahamas (+1 242)</option>
<option value="973">Bahrain (+973)</option>
<option value="880">Bangladesh (+880)</option>
<option value="1 246">Barbados (+1 246)</option>
<option value="375">Belarus (+375)</option>
<option value="32">Belgium (+32)</option>
<option value="501">Belize (+501)</option>
<option value="229">Benin (+229)</option>
<option value="1 441">Bermuda (+1 441)</option>
<option value="975">Bhutan (+975)</option>
<option value="591">Bolivia (+591)</option>
<option value="387">Bosnia and Herzegovina (+387)</option>
<option value="267">Botswana (+267)</option>
<option value="55">Brazil (+55)</option>
<option value="246">British Indian Ocean Territory (+246)</option>
<option value="1 284">British Virgin Islands (+1 284)</option>
<option value="673">Brunei (+673)</option>
<option value="359">Bulgaria (+359)</option>
<option value="226">Burkina Faso (+226)</option>
<option value="95">Burma (Myanmar) (+95)</option>
<option value="257">Burundi (+257)</option>
<option value="855">Cambodia (+855)</option>
<option value="237">Cameroon (+237)</option>
<option value="1">Canada (+1)</option>
<option value="238">Cape Verde (+238)</option>
<option value="1 345">Cayman Islands (+1 345)</option>
<option value="236">Central African Republic (+236)</option>
<option value="235">Chad (+235)</option>
<option value="56">Chile (+56)</option>
<option value="86">China (+86)</option>
<option value="61">Christmas Island (+61)</option>
<option value="61">Cocos (Keeling) Islands (+61)</option>
<option value="57">Colombia (+57)</option>
<option value="269">Comoros (+269)</option>
<option value="682">Cook Islands (+682)</option>
<option value="506">Costa Rica (+506)</option>
<option value="385">Croatia (+385)</option>
<option value="53">Cuba (+53)</option>
<option value="357">Cyprus (+357)</option>
<option value="420">Czech Republic (+420)</option>
<option value="243">Democratic Republic of the Congo (+243)</option>
<option value="45">Denmark (+45)</option>
<option value="253">Djibouti (+253)</option>
<option value="1 767">Dominica (+1 767)</option>
<option value="1 809">Dominican Republic (+1 809)</option>
<option value="593">Ecuador (+593)</option>
<option value="20">Egypt (+20)</option>
<option value="503">El Salvador (+503)</option>
<option value="240">Equatorial Guinea (+240)</option>
<option value="291">Eritrea (+291)</option>
<option value="372">Estonia (+372)</option>
<option value="251">Ethiopia (+251)</option>
<option value="500">Falkland Islands (+500)</option>
<option value="298">Faroe Islands (+298)</option>
<option value="679">Fiji (+679)</option>
<option value="358">Finland (+358)</option>
<option value="33">France (+33)</option>
<option value="689">French Polynesia (+689)</option>
<option value="241">Gabon (+241)</option>
<option value="220">Gambia (+220)</option>
<option value="995">Georgia (+995)</option>
<option value="49">Germany (+49)</option>
<option value="233">Ghana (+233)</option>
<option value="350">Gibraltar (+350)</option>
<option value="30">Greece (+30)</option>
<option value="299">Greenland (+299)</option>
<option value="1 473">Grenada (+1 473)</option>
<option value="1 671">Guam (+1 671)</option>
<option value="502">Guatemala (+502)</option>
<option value="224">Guinea (+224)</option>
<option value="245">Guinea-Bissau (+245)</option>
<option value="592">Guyana (+592)</option>
<option value="509">Haiti (+509)</option>
<option value="39">Holy See (Vatican City) (+39)</option>
<option value="504">Honduras (+504)</option>
<option value="852">Hong Kong (+852)</option>
<option value="36">Hungary (+36)</option>
<option value="354">Iceland (+354)</option>
<option value="91">India (+91)</option>
<option value="62">Indonesia (+62)</option>
<option value="98">Iran (+98)</option>
<option value="964">Iraq (+964)</option>
<option value="353">Ireland (+353)</option>
<option value="44">Isle of Man (+44)</option>
<option value="972">Israel (+972)</option>
<option value="39">Italy (+39)</option>
<option value="225">Ivory Coast (+225)</option>
<option value="1 876">Jamaica (+1 876)</option>
<option value="81">Japan (+81)</option>
<option value="44">Jersey (+44)</option>
<option value="962">Jordan (+962)</option>
<option value="7">Kazakhstan (+7)</option>
<option value="254">Kenya (+254)</option>
<option value="686">Kiribati (+686)</option>
<option value="965">Kuwait (+965)</option>
<option value="996">Kyrgyzstan (+996)</option>
<option value="856">Laos (+856)</option>
<option value="371">Latvia (+371)</option>
<option value="961">Lebanon (+961)</option>
<option value="266">Lesotho (+266)</option>
<option value="231">Liberia (+231)</option>
<option value="218">Libya (+218)</option>
<option value="423">Liechtenstein (+423)</option>
<option value="370">Lithuania (+370)</option>
<option value="352">Luxembourg (+352)</option>
<option value="853">Macau (+853)</option>
<option value="389">Macedonia (+389)</option>
<option value="261">Madagascar (+261)</option>
<option value="265">Malawi (+265)</option>
<option value="60" selected="">Malaysia (+60)</option>
<option value="960">Maldives (+960)</option>
<option value="223">Mali (+223)</option>
<option value="356">Malta (+356)</option>
<option value="692">Marshall Islands (+692)</option>
<option value="222">Mauritania (+222)</option>
<option value="230">Mauritius (+230)</option>
<option value="262">Mayotte (+262)</option>
<option value="52">Mexico (+52)</option>
<option value="691">Micronesia (+691)</option>
<option value="373">Moldova (+373)</option>
<option value="377">Monaco (+377)</option>
<option value="976">Mongolia (+976)</option>
<option value="382">Montenegro (+382)</option>
<option value="1 664">Montserrat (+1 664)</option>
<option value="212">Morocco (+212)</option>
<option value="258">Mozambique (+258)</option>
<option value="264">Namibia (+264)</option>
<option value="674">Nauru (+674)</option>
<option value="977">Nepal (+977)</option>
<option value="31">Netherlands (+31)</option>
<option value="599">Netherlands Antilles (+599)</option>
<option value="687">New Caledonia (+687)</option>
<option value="64">New Zealand (+64)</option>
<option value="505">Nicaragua (+505)</option>
<option value="227">Niger (+227)</option>
<option value="234">Nigeria (+234)</option>
<option value="683">Niue (+683)</option>
<option value="672">Norfolk Island (+672)</option>
<option value="850">North Korea (+850)</option>
<option value="1 670">Northern Mariana Islands (+1 670)</option>
<option value="47">Norway (+47)</option>
<option value="968">Oman (+968)</option>
<option value="92">Pakistan (+92)</option>
<option value="680">Palau (+680)</option>
<option value="507">Panama (+507)</option>
<option value="675">Papua New Guinea (+675)</option>
<option value="595">Paraguay (+595)</option>
<option value="51">Peru (+51)</option>
<option value="63">Philippines (+63)</option>
<option value="870">Pitcairn Islands (+870)</option>
<option value="48">Poland (+48)</option>
<option value="351">Portugal (+351)</option>
<option value="1">Puerto Rico (+1)</option>
<option value="974">Qatar (+974)</option>
<option value="242">Republic of the Congo (+242)</option>
<option value="40">Romania (+40)</option>
<option value="7">Russia (+7)</option>
<option value="250">Rwanda (+250)</option>
<option value="590">Saint Barthelemy (+590)</option>
<option value="290">Saint Helena (+290)</option>
<option value="1 869">Saint Kitts and Nevis (+1 869)</option>
<option value="1 758">Saint Lucia (+1 758)</option>
<option value="1 599">Saint Martin (+1 599)</option>
<option value="508">Saint Pierre and Miquelon (+508)</option>
<option value="1 784">Saint Vincent and the Grenadines (+1 784)</option>
<option value="685">Samoa (+685)</option>
<option value="378">San Marino (+378)</option>
<option value="239">Sao Tome and Principe (+239)</option>
<option value="966">Saudi Arabia (+966)</option>
<option value="221">Senegal (+221)</option>
<option value="381">Serbia (+381)</option>
<option value="248">Seychelles (+248)</option>
<option value="232">Sierra Leone (+232)</option>
<option value="65">Singapore (+65)</option>
<option value="421">Slovakia (+421)</option>
<option value="386">Slovenia (+386)</option>
<option value="677">Solomon Islands (+677)</option>
<option value="252">Somalia (+252)</option>
<option value="27">South Africa (+27)</option>
<option value="82">South Korea (+82)</option>
<option value="34">Spain (+34)</option>
<option value="94">Sri Lanka (+94)</option>
<option value="249">Sudan (+249)</option>
<option value="597">Suriname (+597)</option>
<option value="47 79">Svalbard (+47 79)</option>
<option value="268">Swaziland (+268)</option>
<option value="46">Sweden (+46)</option>
<option value="41">Switzerland (+41)</option>
<option value="963">Syria (+963)</option>
<option value="886">Taiwan (+886)</option>
<option value="992">Tajikistan (+992)</option>
<option value="255">Tanzania (+255)</option>
<option value="66">Thailand (+66)</option>
<option value="670">Timor-Leste (+670)</option>
<option value="228">Togo (+228)</option>
<option value="690">Tokelau (+690)</option>
<option value="676">Tonga (+676)</option>
<option value="1 868">Trinidad and Tobago (+1 868)</option>
<option value="216">Tunisia (+216)</option>
<option value="90">Turkey (+90)</option>
<option value="993">Turkmenistan (+993)</option>
<option value="1 649">Turks and Caicos Islands (+1 649)</option>
<option value="688">Tuvalu (+688)</option>
<option value="256">Uganda (+256)</option>
<option value="380">Ukraine (+380)</option>
<option value="971">United Arab Emirates (+971)</option>
<option value="44">United Kingdom (+44)</option>
<option value="1">United States (+1)</option>
<option value="598">Uruguay (+598)</option>
<option value="1 340">US Virgin Islands (+1 340)</option>
<option value="998">Uzbekistan (+998)</option>
<option value="678">Vanuatu (+678)</option>
<option value="58">Venezuela (+58)</option>
<option value="84">Vietnam (+84)</option>
<option value="681">Wallis and Futuna (+681)</option>
<option value="212">Western Sahara (+212)</option>
<option value="967">Yemen (+967)</option>
<option value="260">Zambia (+260)</option>
<option value="263">Zimbabwe (+263)</option>
</select>
<input type="tel" class="form-control" id="client_phone_number" name="client_phone_number" placeholder="Masukkan nombor telefon bimbit anda..." maxlength="20" value="" autocomplete="tel-national">
</div>
</div>
<div class="form-group ">
<label for="client_address_line_1" class="control-label col-md-3">Alamat<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<input type="text" class="form-control" id="client_address_line_1" name="client_address_line_1" placeholder="Masukkan alamat anda (baris 1)..." maxlength="35" value="" autocomplete="address-line1">
</div>
</div>
<div class="form-group">
<div class="col-md-offset-3 col-md-7">
<input type="text" class="form-control" id="client_address_line_2" name="client_address_line_2" placeholder="Masukkan alamat anda (baris 2)..." maxlength="35" value="" style="margin-top:-5px" autocomplete="address-line2">
<input type="text" class="form-control" id="client_address_line_3" name="client_address_line_3" placeholder="Masukkan alamat anda (baris 3)..." maxlength="35" value="" style="margin-top:10px" autocomplete="address-line3">
<input type="text" class="form-control" id="client_address_line_4" name="client_address_line_4" placeholder="Masukkan alamat anda (baris 4)..." maxlength="35" value="" style="margin-top:10px" autocomplete="address-line4">
</div>
</div>
<div class="form-group ">
<label for="client_address_code" class="control-label col-md-3">Poskod<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<input type="text" class="form-control" id="client_address_code" name="client_address_code" placeholder="Masukkan poskod anda..." maxlength="10" value="" autocomplete="postal-code">
</div>
</div>
<div class="form-group ">
<label for="client_address_city" class="control-label col-md-3">Bandar<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<input type="text" class="form-control" id="client_address_city" name="client_address_city" placeholder="Masukkan bandar anda..." maxlength="35" value="" autocomplete="address-level2">
</div>
</div>
<div class="form-group ">
<label for="client_address_state" class="control-label col-md-3">Negeri<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<select class="form-control empty" id="client_address_state" name="client_address_state" autocomplete="address-level1">
<option value="">Pilih negeri anda...</option>
<option value="Johor">Johor</option>
<option value="Kedah">Kedah</option>
<option value="Kelantan">Kelantan</option>
<option value="Melaka">Melaka</option>
<option value="Negeri Sembilan">Negeri Sembilan</option>
<option value="Pahang">Pahang</option>
<option value="Perak">Perak</option>
<option value="Perlis">Perlis</option>
<option value="Pulau Pinang">Pulau Pinang</option>
<option value="Selangor">Selangor</option>
<option value="Terengganu">Terengganu</option>
<option value="Kuala Lumpur">Kuala Lumpur</option>
<option value="Putra Jaya">Putra Jaya</option>
<option value="Sarawak">Sarawak</option>
<option value="Sabah">Sabah</option>
<option value="Labuan">Labuan</option>
</select>
</div>
</div>
<div class="form-group ">
<label for="client_address_country" class="control-label col-md-3">Negara<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-7">
<select class="form-control" id="client_address_country" name="client_address_country" autocomplete="country">
<option value="">Pilih negara anda...</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="AMERICAN SAMOA">AMERICAN SAMOA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</option>
<option value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHRAIN">BAHRAIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELARUS">BELARUS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BHUTAN">BHUTAN</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRITISH VIRGIN ISLANDS">BRITISH VIRGIN ISLANDS</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="MYANMAR">MYANMAR</option>
<option value="BURUNDI">BURUNDI</option>
<option value="CAMBODIA">CAMBODIA</option>
<option value="CAMEROON">CAMEROON</option>
<option value="CANADA">CANADA</option>
<option value="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS ISLANDS">COCOS ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="REPUBLIC OF THE CONGO">REPUBLIC OF THE CONGO</option>
<option value="DEMOCRATIC REPUBLIC OF THE CONGO">DEMOCRATIC REPUBLIC OF THE CONGO</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CURACAO">CURACAO</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</option>
<option value="DJIBOUTI">DJIBOUTI</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="EAST TIMOR">EAST TIMOR</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option value="ERITREA">ERITREA</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS">FALKLAND ISLANDS</option>
<option value="FAROE ISLANDS">FAROE ISLANDS</option>
<option value="FIJI">FIJI</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMANY</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GREENLAND">GREENLAND</option>
<option value="GRENADA">GRENADA</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUERNSEY">GUERNSEY</option>
<option value="GUINEA">GUINEA</option>
<option value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HONDURAS">HONDURAS</option>
<option value="HONG KONG">HONG KONG</option>
<option value="HUNGARY">HUNGARY</option>
<option value="ICELAND">ICELAND</option>
<option value="INDIA">INDIA</option>
<option value="INDONESIA">INDONESIA</option>
<option value="IRAN">IRAN</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISLE OF MAN">ISLE OF MAN</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</option>
<option value="IVORY COAST">IVORY COAST</option>
<option value="JAMAICA">JAMAICA</option>
<option value="JAPAN">JAPAN</option>
<option value="JERSEY">JERSEY</option>
<option value="JORDAN">JORDAN</option>
<option value="KAZAKHSTAN">KAZAKHSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KOSOVO">KOSOVO</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAOS">LAOS</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYA">LIBYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAU">MACAU</option>
<option value="MACEDONIA">MACEDONIA</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA" selected="">MALAYSIA</option>
<option value="MALDIVES">MALDIVES</option>
<option value="MALI">MALI</option>
<option value="MALTA">MALTA</option>
<option value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MAURITIUS">MAURITIUS</option>
<option value="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA">MICRONESIA</option>
<option value="MOLDOVA">MOLDOVA</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTENEGRO">MONTENEGRO</option>
<option value="MONTSERRAT">MONTSERRAT</option>
<option value="MOROCCO">MOROCCO</option>
<option value="MOZAMBIQUE">MOZAMBIQUE</option>
<option value="NAMIBIA">NAMIBIA</option>
<option value="NAURU">NAURU</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
<option value="NEW CALEDONIA">NEW CALEDONIA</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGER">NIGER</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NIUE">NIUE</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORTH KOREA">NORTH KOREA</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINE">PALESTINE</option>
<option value="PANAMA">PANAMA</option>
<option value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="PHILIPPINES">PHILIPPINES</option>
<option value="PITCAIRN">PITCAIRN</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REUNION">REUNION</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIA">RUSSIA</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT BARTHELEMY">SAINT BARTHELEMY</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</option>
<option value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SERBIA">SERBIA</option>
<option value="SEYCHELLES">SEYCHELLES</option>
<option value="SIERRA LEONE">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SINT MAARTEN">SINT MAARTEN</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</option>
<option value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option value="SOMALIA">SOMALIA</option>
<option value="SOUTH AFRICA">SOUTH AFRICA</option>
<option value="SOUTH KOREA">SOUTH KOREA</option>
<option value="SOUTH SUDAN">SOUTH SUDAN</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT MARTIN">SAINT MARTIN</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIA">SYRIA</option>
<option value="TAIWAN">TAIWAN</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA">TANZANIA</option>
<option value="THAILAND">THAILAND</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UGANDA">UGANDA</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UKRAINE">UKRAINE</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VATICAN">VATICAN</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIETNAM">VIETNAM</option>
<option value="U.S. VIRGIN ISLANDS">U.S. VIRGIN ISLANDS</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>
</div>
</div>
<div id="payment-section">
<h2 class="section-header" style="margin-top:30px"> BUTIRAN PEMBAYARAN</h2>
<input type="hidden" name="custom_payment_methods_options" value="">
<div class="form-group offset-0 " style="margin-top:15px">
<label class="control-label col-md-12" style="text-align:left;font-size:16px">Kaedah Pembayaran<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-12">
<div class="radio">
<label class="payment_method_label">
<input type="radio" class="payment_method" name="payment_method" value="billplz" data-button_text="Teruskan ke Pembayaran">
<div class="logo billplz selected" title="Billplz"></div> Perbankan Dalam Talian (Billplz)<br><small class="text-danger semi-bold" id="billplz-handling-charge">Caj perkhidmatan peniaga akan dikenakan sebanyak <b>RM 1.10</b> untuk setiap
transaksi yang berjaya</small>
</label>
</div>
</div>
</div>
<div id="banks_details" style="display:none;margin-left:5px">
<hr>
<div class="form-group ">
<label class="control-label col-md-3">Pilih Akaun Bank<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-9">
</div>
</div>
<div class="form-group ">
<label class="control-label col-md-3">Bayar Menerusi<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-9">
<label class="radio-inline"><input type="radio" class="payment_channel" name="payment_channel" value="ob" checked="">Perbankan Internet</label>
<label class="radio-inline"><input type="radio" class="payment_channel" name="payment_channel" value="cdm">Mesin Deposit Tunai</label>
</div>
</div>
<div class="form-group ">
<label for="payment_time" class="control-label col-md-3">Masa Bayaran<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-3">
<div class="input-group bootstrap-timepicker">
<input type="text" class="form-control" id="payment_time" name="payment_time" maxlength="11" value=""><span class="input-group-addon"><span class="glyphicon glyphicon-time"></span></span>
</div>
</div>
</div>
<div class="form-group ">
<label for="payment_date" class="control-label col-md-3">Tarikh Bayaran<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<div class="col-md-3">
<div class="input-group date">
<input type="text" class="form-control" id="payment_date" name="payment_date" maxlength="10" value=""><span class="input-group-addon" style="cursor:pointer"><span class="glyphicon glyphicon-calendar"></span></span>
</div>
</div>
</div>
<div class="form-group">
<label for="payment_note" class="control-label col-md-3">Nota Bayaran</label>
<div class="col-md-7">
<textarea class="form-control" rows="4" id="payment_note" name="payment_note" placeholder="Masukkan nota bayaran..." maxlength="1000"></textarea>
</div>
</div>
<div class="form-group ">
<label for="payment_proof" class="control-label col-md-3">Bukti Bayaran</label>
<div class="col-md-9">
<div class="fileinput fileinput-new" data-provides="fileinput">
<span class="btn btn-default btn-file"><span class="fileinput-new"><span class="fa fa-file"></span> Pilih Fail</span><span class="fileinput-exists">Tukar Fail</span><input type="file" id="payment_proof" name="payment_proof"></span>
<span class="fileinput-filename"></span>
<a href="#" class="close fileinput-exists" data-dismiss="fileinput" style="float:none">×</a>
</div>
<span class="field-help">Tekan butang di atas untuk pilih fail.<br>Pilih fail berformat JPG, PNG, GIF, PDF atau DOC sahaja.<br>Pastikan saiz fail tidak melebihi 20000 KB.</span>
</div>
</div>
</div>
<div id="billplz_details" style="margin-left: 5px;">
<hr>
<div class="form-group offset-0 ">
<div class="col-md-12">
<label for="payment_billplz_bank_code" class="control-label" style="margin-bottom:10px">Bank<span class="glyphicon glyphicon-asterisk red-asterisk"></span></label>
<select class="form-control empty" id="payment_billplz_bank_code" name="payment_billplz_bank_code">
<option value="">Pilih bank...</option>
<option value="ABMB0212">Alliance Bank</option>
<option value="ABB0233">Affin Bank</option>
<option value="AMBB0209">AmBank</option>
<option value="BCBB0235">CIMB Clicks</option>
<option value="BIMB0340">Bank Islam</option>
<option value="BKRM0602">Bank Rakyat</option>
<option value="BMMB0341">Bank Muamalat</option>
<option value="BSN0601">BSN</option>
<option value="HLB0224">Hong Leong Bank</option>
<option value="HSBC0223">HSBC Bank</option>
<option value="KFH0346">Kuwait Finance House</option>
<option value="MB2U0227">Maybank2u</option>
<option value="OCBC0229">OCBC Bank</option>
<option value="PBB0233">Public Bank</option>
<option value="RHB0218">RHB Now</option>
<option value="SCB0216">Standard Chartered</option>
<option value="UOB0226">UOB Bank</option>
</select>
</div>
</div>
</div>
</div>
<p class="text-center" style="margin-top:30px">
<button type="submit" id="submit-order" class="btn btn-primary btn-lg semi-bold">Teruskan ke Pembayaran <span class="fa fa-chevron-right"></span></button>
</p>
</form>Text Content
-------------------------------------------------------------------------------- Perhatian! Sila lengkapkan borang di bawah. Ruangan yang wajib diisi BUTIRAN PEMBELIAN Produk Kuantiti Harga (RM) Pakej Trial RM69 + FREE SHIPPING - (TOTAL JIMAT RM81) 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 0.00 BEST SELLER RM138 + FREE SHIPPING - (TOTAL JIMAT RM162) 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 0.00 Pakej Jimat RM207 + FREE SHIPPING - (JIMAT RM243) 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 0.00 JUMLAH 0 0.00 JUMLAH KESELURUHAN (RM) 0.00 Caj Perkhidmatan Peniaga (RM) 1.10 BUTIRAN PELANGGAN Nama Emel Nombor HP Pilih kod dail negara untuk nombor telefon bimbit anda... Afghanistan (+93)Albania (+355)Algeria (+213)American Samoa (+1 684)Andorra (+376)Angola (+244)Anguilla (+1 264)Antarctica (+672)Antigua and Barbuda (+1 268)Argentina (+54)Armenia (+374)Aruba (+297)Australia (+61)Austria (+43)Azerbaijan (+994)Bahamas (+1 242)Bahrain (+973)Bangladesh (+880)Barbados (+1 246)Belarus (+375)Belgium (+32)Belize (+501)Benin (+229)Bermuda (+1 441)Bhutan (+975)Bolivia (+591)Bosnia and Herzegovina (+387)Botswana (+267)Brazil (+55)British Indian Ocean Territory (+246)British Virgin Islands (+1 284)Brunei (+673)Bulgaria (+359)Burkina Faso (+226)Burma (Myanmar) (+95)Burundi (+257)Cambodia (+855)Cameroon (+237)Canada (+1)Cape Verde (+238)Cayman Islands (+1 345)Central African Republic (+236)Chad (+235)Chile (+56)China (+86)Christmas Island (+61)Cocos (Keeling) Islands (+61)Colombia (+57)Comoros (+269)Cook Islands (+682)Costa Rica (+506)Croatia (+385)Cuba (+53)Cyprus (+357)Czech Republic (+420)Democratic Republic of the Congo (+243)Denmark (+45)Djibouti (+253)Dominica (+1 767)Dominican Republic (+1 809)Ecuador (+593)Egypt (+20)El Salvador (+503)Equatorial Guinea (+240)Eritrea (+291)Estonia (+372)Ethiopia (+251)Falkland Islands (+500)Faroe Islands (+298)Fiji (+679)Finland (+358)France (+33)French Polynesia (+689)Gabon (+241)Gambia (+220)Georgia (+995)Germany (+49)Ghana (+233)Gibraltar (+350)Greece (+30)Greenland (+299)Grenada (+1 473)Guam (+1 671)Guatemala (+502)Guinea (+224)Guinea-Bissau (+245)Guyana (+592)Haiti (+509)Holy See (Vatican City) (+39)Honduras (+504)Hong Kong (+852)Hungary (+36)Iceland (+354)India (+91)Indonesia (+62)Iran (+98)Iraq (+964)Ireland (+353)Isle of Man (+44)Israel (+972)Italy (+39)Ivory Coast (+225)Jamaica (+1 876)Japan (+81)Jersey (+44)Jordan (+962)Kazakhstan (+7)Kenya (+254)Kiribati (+686)Kuwait (+965)Kyrgyzstan (+996)Laos (+856)Latvia (+371)Lebanon (+961)Lesotho (+266)Liberia (+231)Libya (+218)Liechtenstein (+423)Lithuania (+370)Luxembourg (+352)Macau (+853)Macedonia (+389)Madagascar (+261)Malawi (+265)Malaysia (+60)Maldives (+960)Mali (+223)Malta (+356)Marshall Islands (+692)Mauritania (+222)Mauritius (+230)Mayotte (+262)Mexico (+52)Micronesia (+691)Moldova (+373)Monaco (+377)Mongolia (+976)Montenegro (+382)Montserrat (+1 664)Morocco (+212)Mozambique (+258)Namibia (+264)Nauru (+674)Nepal (+977)Netherlands (+31)Netherlands Antilles (+599)New Caledonia (+687)New Zealand (+64)Nicaragua (+505)Niger (+227)Nigeria (+234)Niue (+683)Norfolk Island (+672)North Korea (+850)Northern Mariana Islands (+1 670)Norway (+47)Oman (+968)Pakistan (+92)Palau (+680)Panama (+507)Papua New Guinea (+675)Paraguay (+595)Peru (+51)Philippines (+63)Pitcairn Islands (+870)Poland (+48)Portugal (+351)Puerto Rico (+1)Qatar (+974)Republic of the Congo (+242)Romania (+40)Russia (+7)Rwanda (+250)Saint Barthelemy (+590)Saint Helena (+290)Saint Kitts and Nevis (+1 869)Saint Lucia (+1 758)Saint Martin (+1 599)Saint Pierre and Miquelon (+508)Saint Vincent and the Grenadines (+1 784)Samoa (+685)San Marino (+378)Sao Tome and Principe (+239)Saudi Arabia (+966)Senegal (+221)Serbia (+381)Seychelles (+248)Sierra Leone (+232)Singapore (+65)Slovakia (+421)Slovenia (+386)Solomon Islands (+677)Somalia (+252)South Africa (+27)South Korea (+82)Spain (+34)Sri Lanka (+94)Sudan (+249)Suriname (+597)Svalbard (+47 79)Swaziland (+268)Sweden (+46)Switzerland (+41)Syria (+963)Taiwan (+886)Tajikistan (+992)Tanzania (+255)Thailand (+66)Timor-Leste (+670)Togo (+228)Tokelau (+690)Tonga (+676)Trinidad and Tobago (+1 868)Tunisia (+216)Turkey (+90)Turkmenistan (+993)Turks and Caicos Islands (+1 649)Tuvalu (+688)Uganda (+256)Ukraine (+380)United Arab Emirates (+971)United Kingdom (+44)United States (+1)Uruguay (+598)US Virgin Islands (+1 340)Uzbekistan (+998)Vanuatu (+678)Venezuela (+58)Vietnam (+84)Wallis and Futuna (+681)Western Sahara (+212)Yemen (+967)Zambia (+260)Zimbabwe (+263) Alamat Poskod Bandar Negeri Pilih negeri anda... Johor Kedah Kelantan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Selangor Terengganu Kuala Lumpur Putra Jaya Sarawak Sabah Labuan Negara Pilih negara anda... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRITISH INDIAN OCEAN TERRITORY BRITISH VIRGIN ISLANDS BRUNEI DARUSSALAM BULGARIA BURKINA FASO MYANMAR BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS ISLANDS COLOMBIA COMOROS REPUBLIC OF THE CONGO DEMOCRATIC REPUBLIC OF THE CONGO COOK ISLANDS COSTA RICA CROATIA CUBA CURACAO CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FAROE ISLANDS FIJI FINLAND FRANCE FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MAN ISRAEL ITALY IVORY COAST JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KOSOVO KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORTHERN MARIANA ISLANDS NORTH KOREA NORWAY OMAN PAKISTAN PALAU PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIA RWANDA SAINT BARTHELEMY SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SINT MAARTEN SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SOUTH SUDAN SPAIN SRI LANKA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UNITED ARAB EMIRATES UGANDA UNITED KINGDOM UKRAINE URUGUAY UNITED STATES UZBEKISTAN VANUATU VATICAN VENEZUELA VIETNAM U.S. VIRGIN ISLANDS WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE BUTIRAN PEMBAYARAN Kaedah Pembayaran Perbankan Dalam Talian (Billplz) Caj perkhidmatan peniaga akan dikenakan sebanyak RM 1.10 untuk setiap transaksi yang berjaya -------------------------------------------------------------------------------- Pilih Akaun Bank Bayar Menerusi Perbankan Internet Mesin Deposit Tunai Masa Bayaran Tarikh Bayaran Nota Bayaran Bukti Bayaran Pilih FailTukar Fail × Tekan butang di atas untuk pilih fail. Pilih fail berformat JPG, PNG, GIF, PDF atau DOC sahaja. Pastikan saiz fail tidak melebihi 20000 KB. -------------------------------------------------------------------------------- Bank Pilih bank... Alliance Bank Affin Bank AmBank CIMB Clicks Bank Islam Bank Rakyat Bank Muamalat BSN Hong Leong Bank HSBC Bank Kuwait Finance House Maybank2u OCBC Bank Public Bank RHB Now Standard Chartered UOB Bank Teruskan ke Pembayaran