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  consular Information

 

 

 
                    
                 HIGH COMMISSION of Malaysia, PORT MORESBY
   Add:   Lot 16, Sect. 531, Rosewood Executive Residence,
 
     Savanah Heights, Waigani, Port Moresby, NCD, PNG 
                 P.O. Box 1400, Port Moresby, Papua New Guinea.
                 Tel: 675-325 1056/2076 Fax: 675-325 2764
                 E-Mail:           mwportmoresby@kln.gov.my
                 Website: www.kln.gov.my/web/png_port-moresby
 
 
 
REGISTRATION OF MALAYSIAN CITIZENS ABROAD          
 
·         Malaysian nationals residing overseas are required to register as soon as possible with the nearest Embassy / High Commission / Consulate General of Malaysia.
·         Kindly complete this form in full where necessary and attach a passport size photo. Please return it to the nearest Embassy or High Commission / Consulate General of Malaysia.
 
 
A.    PERSONAL PARTICULARS
    
 
Latest
Photograph
 
Name   :
 
Other Name :
 
Sex   :
 
New Identity Card No. :
 
Date of Birth :
 
Old Identity Card No. :
 
Place of Birth :
 
Colour of Identity Card : Blue
 
Religion :
 
Nationality : Malaysia
 
Passport
 
Passport   No. :
Date of Issue  :
Place of Issue :
Expiry Date   :
 
Birth Certificate
(if available)
 
Birth Certificate No. :
Place of Issue  :
Date of Issue  :
 
Other Citizenship Documents  (Example – Citizenship Certificate if any )    :
 
 
Marital Status    :  Single / Married / Divorced
 
B.   FAMILY PARTICULARS
 
Name of Spouse    :
 
Nationality of Spouse :
No. of
Children :
 
Children Particulars :
 Name of Child                                          Sex                                                  Date of Birth            Place of Birth
 
1.
2.
3.
 
C.   PARTICULARS IN PAPUA NEW GUINEA
 
Address   :
 
 
Telephone No   :
 
E-Mail Address :
 
Date of Arrival :
 
Current Visa Status :  Student/Employment Visa/PR
 
If Residing in Current Country,
State Purpose of Residence :
 
 
Expected Duration of Residence :
 
Name, Address and Telephone of Contact Person (s) :
( In Case of Emergency ) :
 
 

 

 
D.   PARTICULARS IN MALAYSIA
 
Address : 
 
 
 
Telephone No. :
 
Name, Address and Telephone of Contact Person (s) :;
( In Case of Emergency )                                              
 
 
E.  PURPOSE TO CURRENT COUNTRY  : (please tick Ö in boxes and fill in particulars where applicable)
                                                                             ( * delete where not applicable )
 

 

 

 

Visit less than six (6) months
 

 

 

 

Student
:
Sponsor
:
………………………………………………………………..
 
 
 
:
Institution
:
………………………………………………………………..
 
 
 
:
Address
:
………………………………………………………………..
 
 
 
:
Course
:
………………………………………………………………..
 
 
 
:
Level of Study
:
………………………………………………………………..
 
 
 
:
Duration of Course
:
………………………………………………………………..
 
 
 
:
Date of Completion   :
:
…………………………….......…………………………
 

 

 

 

Employment
:
Occupation
:
…………………………………………………………..
 
 
 
:
Employer
:
……………………………………………………………
 
 
 
:
Address of Employer
:
……………………………………………………………
 
 
 
:
Validity of Work Permit
:
………………………………………………………...

 

 

 

Accompanying Spouse / Parents / Guardian Working / Studying *
 

 

 

 

Married To Local Citizen
 

 

 

 

Permanent Resident in Current Country, Date of PR Granted : 
 

 

 

 

Others (please specify ) : ……………………………………………………………………………………………
 
Would you like to be notified occasionally through email about the upcoming events and news?   Yes / No
 
 
Date   :
 
 
Signature :
 
F.   FOR OFFICIAL USE ONLY
 
Registration Serial No.  :
 
Date Form Received :
 
Mode of Registration : Register in Person at Embassy or High Commission  / Post  / Fax / Telephone  / E-mail *
 
Name of Office in Charge   : Tan Seng Khee, Second Secretary, High Commission of Malaysia, Port Moresby, PNG
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

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