Sepanjang tempoh keberangkatan Baginda, Timbalan Yang di-Pertuan Agong, Tuanku Abdul Halim Mu'adzam Shah yang juga Sultan Kedah akan menjalankan tugas-tugas rasmi Yang di-Pertuan Agong.
She played a major role during the Humanitarian response to the 2004 Indian Ocean earthquake by collecting donations which were successfully distributed to victims through both the Acheh and Kedah governments.
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