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Metro Maternity Package
Please fill up the form below for the maternity package promotion.
Sila isikan borang di bawah untuk promosi pakej bersalin.
请填以下表格获取优惠。
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* Indicates required question
Full Name / 全名
*
Your answer
IC/Passport No. / 身份证号
*
Your answer
Mobile No. / 手机号码
*
Your answer
Email / 邮箱地址
*
Your answer
Occupation / 职业
Your answer
Partner / Spouse's Full Name / 伴侣全名
*
Your answer
Partner / Spouse's IC/Passport No. / 伴侣身份证号
Your answer
Partner / Spouse's Mobile Number / 伴侣手机号
Your answer
Partner / Spouse's Occupation / 伴侣职业
Your answer
EDD (Expected Delivery Date) / 估计生产日期
MM
/
DD
/
YYYY
How many weeks pregnant? / 怀孕期（星期）
Your answer
Preferred Branch For Follow Ups / 首选咨询跟进分行
*
Hospital Wanita Metro Klang
Hospital Wanita Metro Banting
Hospital Wanita Metro Kuala Selangor
Klinik Pakar Wanita Metro Bukit Tinggi Klang
Klink Pakar Wanita Metro Seremban 2
Klinik Wanita Metro SS15, Subang Jaya
Required
Preferred Branch For Delivery / 首选生产分行
*
Hospital Wanita Metro Klang (Normal RM2880 / LSCS RM6880)
Hospital Wanita Metro Banting (Normal RM2380 / LSCS RM6480+)
Hospital Wanita Metro Kuala Selangor (Normal RM2380+ / LSCS RM6480+)
Required
Questions regarding promotion? / 疑问
Your answer
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