Secure Online Request

📝 Member Registration

Halal Savings Circle (HSC) member request form. Please complete all required fields. Your information will be reviewed by HSC Management before approval.

Important: All fields are required except Preferred Contact Method, Emergency Phone, and Additional Notes.
Privacy Notice: ID / Driver License images are collected only for management verification. They should be accessed by authorized management only.

👤 Member Information

Fields marked with * are required.
Use camera or upload image. Accepted: JPG, PNG, WEBP. Max size: 4MB.

🪪 ID / Driver License Verification

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Please make sure the front side is clear and readable.
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Please make sure the back side is clear and readable.

📞 Nominee / Emergency Information

⚖️ Nominee & Family Responsibility Policy
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Before Receiving Payout
If a member passes away before receiving their payout, the nominee or immediate family may continue participation or request withdrawal, subject to HSC Management review.
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After Receiving Payout
If a member has already received a payout, the nominee or family becomes responsible for all remaining monthly contributions until the cycle is completed.
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Payout Distribution
Funds, benefits, and records will only be released to the registered nominee or approved immediate family member.
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Transparency Commitment
All actions, approvals, withdrawals, and payouts will remain documented and transparent within HSC records.
📋 HSC Registration Agreement Summary
✅ I understand this request does not guarantee approval.
✅ I agree to pay my monthly contribution on time.
✅ I understand payout rules are managed by HSC Management.
✅ I agree that my nominee information is accurate.
✅ I understand ID images are for verification only.
✅ I agree to follow HSC rules, privacy, and management decisions.

📝 Additional Notes

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