Born on 4 December 1932 in Kuala Terengganu, she was the fourth child of Tengku Panglima Perang Tengku Muhammad Mu’azzam Shah ibni Almarhum Sultan Haji Sir Ahmad al-Mu’azzam Shah and Tengku Hajah Mandak binti Tengku Haji Mustaffar, and the granddaughter of Almarhum Sultan Ahmad Shah, the first Sultan of Pahang.

Tengku Hajah Afzan received her early education at the Malay Girls’ School in Pekan.

On 22 April 1954, at the age of 22, she married Ahmad Shah,[1] Crown Prince of Pahang, at Kuala Lipis and became the Tengku Puan (Crown Princess) of Pahang.

She was Raja Permaisuri Agong (Queen of Malaysia) between 1979 and 1984.

Tengku Afzan died on 29 June 1988 at 8:42 am at Istana Pahang, Kuala Lumpur at the age of 55 due to cancer.