Healing Prayer Application Form

The Healing Prayer is conducted via Phone.


Please make sure to check the website everyday to read the latest updates.


If you have any questions, please send us an enquiry via the Contact Us page.


*This service is NOT for Muslims in Malaysia.

Kindly fill up all the required fields.

If you are applying on behalf of the patient above as their Guardian, kindly complete the fields below.

Guardian's Details

Please attach the following documents of the person requiring the Healing Prayer.

Only Pdf, Jpg, Jpeg, Gif, and Png files are allowed. Max size per file is 4mb.