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Father's Fullname*:
Mother's Fullname*:
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City of Birth*:
Country of Birth*:
Telephone: Bus:

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Medical Information
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Diabetes Heart Problems
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Please register me for:

Easter 2012 - March 29th - April 12, 2012 
Shaaban - Kerbala/Shaam - July 2012

Arafat - Kerbala/Shaam - Oct 2012
Ashura - Kerbala/Shaam - Nov 2012
Winter Break- Kerbala/Shaam - Dec 2012

A cashier's check in favour of Zulfiqarali Habib for the amount of USD 500.00 is required with your registration application form and the balance is due on request..

Submitting this form implies that you have read and fully understood the Liability and Responsibility information.

Terms & Conditions

HAJJ ASSISTANCE COMMITTEE OF NORTH AMERICA, 10520 Yonge Street, Unit 35B, Suite # 209, Richmond Hill, Ontario, L4C 3C7, Canada (“HACNA”) acts as your agent in making airline, hotel, ground transportation arrangements and other services in connection with the performance of UMRAH, HAJJ OR ZIYARAT (the “Tour”). HACNA is not responsible for any liability whatsoever for any injury, damage, loss, accident or delay that may arise from your participation in a Tour organized or involving HACNA.  HACNA accepts no responsibility for any loss or additional expenses due to delay or changes in schedule or resulting from any other cause.  HACNA shall not be responsible for any failure by you to follow instructions provided by HACNA, including but not limited to check-in and delay, loss of luggage or personal belongings (including your medicine).  It is your responsibility to determine the procedures of the airlines on your Tour.  HACNA assumes no responsibility for the policies of such airlines and will not be responsible if you are to miss any part of the Tour due to your delay or absenteeism for any time during the Tour and will not be responsible for any additional expenses that you may incur to reconnect with the Tour.

You may not upgrade your Tour package after departure and no refund will be provided for any services rendered not utilized.

You acknowledge that additional penalties and/or charges by hotel/airline/bus companies may be imposed on the Tour participants and that such service providers may limit services alter hotel arrangements that have already been confirmed.   HACNA shall not be responsible for any such additional charges or changes to such services.

CANCELLATION: All cancellations must be in writing and a penalty of US$500 per person will be deducted from the deposit received on cancellation requests if made 150 days prior to the departure date.  No refunds will be given for any cancellations made less then 150 days before the departure date. 

TRAVEL INSURANCE: Hajj and any other travel require early planning and may involve may unexpected possibilities.  For your peace of mind and your protection, it is highly recommended that you arrange for appropriate travel to cover trip cancellation, medical, accident and baggage loss.  Travel insurance is offered by many services providers in North America.

UMRAH, HAJJ AND ZIYARAT VISA FEES are not included in our price.  HACNA shall have no obligation to provide you with a refund for any amount that you have paid for your Tour if an Embassy refuses to grant you a visa for their respective country for any reason whatsoever.

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