Travel Advisory Travel Advisory

REGISTRATION of MALAYSIAN CITIZENS

 

Malaysians residing, working or studying in Belgium and Luxembourg are highly encouraged to register themselves with the Embassy. Registering yourself with the Embassy is useful as it would enable the Embassy to get in touch with you during emergencies. Registration can be done by phone, fax or e-mail by providing the following information:

 

  • Full name (as written in passport);
  • Passport and IC numbers;
  • Address and contact numbers in Belgium or Luxembourg;
  • Address in contact numbers in Malaysia;
  • Full name, address and contact numbers of next of kin in Malaysia;
  • Purpose of stay in Belgium or Luxembourg; and,
  • Expected duration of stay in Belgium or Luxembourg.

 

For a proper registration, Malaysians are encouraged to register using a prescribe registration form below.

 

For further information, please call +3227760340 or email to consularinfomy@gmail.com.

 

 

 

EMBASSY OF MALAYSIA

BRUSSELS

 

Last update: 6 January 2014

 

 

 

 

REGISTRATION FORM

 

          

 

·         Malaysian nationals residing overseas are required to register as soon as possible with the nearest Embassy or 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 Malaysian Consulate.

 

 

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  :

 

 

 

 

 

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    :

 

B.   FAMILY  PARTICULARS

 

Name Spouse    :

 

Nationality of Spouse  :

No. of

Children :

 

Children Particulars :

                                  Name of Child                                            Date of Birth            Place of Birth

 

 

 

 

 

 

C.   PARTICULARS IN CURRENT COUNTRY  :   ………………………..

 

Address   :

 

 

 

Telephone No   :

 

E-Mail Address (if any) :

 

Date of Arrival  :

 

Current Visa Status  :

 

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

:

………………………………………………………………….

 

 

:

Expected Date of Completion

:

…………………………………………………….

 

 

:

Previous Academic Institution in Malaysia

:

…………………………………………………….

 

 

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 : 

 

Citizenship Certificate  :    Yes /  No *

 

 

Others  (please specify ) : ……………………………………………………………………………………………

                         

 

 

Date   :

 

 

Signature  :

 

F.   FOR OFFICIAL USE ONLY

 

Registration Serial No.  :

 

Date Form Received :

 

Mode of Registration  : Register in Person at Embassy or Consulate / Post  / Fax / Telephone  / E-mail *

 

 

Name of Office in Charge   :