Registration of Malaysians (Online)
NO: ………../…………..
REGISTRATION OF MALAYSIAN
RESIDING IN THE PROVINCES OF SHAANXI, GANSU AND NINGXIA HUI AUTONOMOUS REGION
Please tick the applicable /Please attach copy of your name card, passport & IC (If available)
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NAME*
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PASSPORT NO.*/ IC NO.* |
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OCCUPATION |
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NAME OF FAMILY MEMBER STAYING WITH YOU
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NAME |
RELATION |
PASSPORT NO. /IC NO. /BIRTH CERT. NO.
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ADDRESS IN CHINA*
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ADDRESS
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TELEPHONE NUMBER & EMAIL
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ADDRESS (IN MANDARIN) : |
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CURRENT ADDRESS IN MALAYSIA |
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PURPOSE OF STAY*
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DATE & LENGTH OF STAY
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DATE OF ARRIVAL
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EXPECTED LENGTH OF STAY | ||||||||||
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YEAR MONTH
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EMERGENCY CONTACT IN MALAYSIA* |
NAME OF CONTACT
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ADDRESS |
TELEPHONE NUMBER & EMAIL | |||||||||
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DATE OF REGISTRATION: SIGNATURE:
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FOR CONSULATE GENERAL OF MALAYSIA USE ONLY
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NAME OF REGISTERING OFFICER
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NAME OF REVIEWING OFFICER |
DATE OF REVIEW |
REMARKS
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*must be filled
- THANK YOU -
Remarks:
Kindly fill in the form and email to mwxian@kln.gov.my together with your passport copy.