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MALAYSIA MY SECOND HOME (MM2H) CENTRE …

NO. DOKUMEN PK.(O). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 1 daripada 2 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA 1 MALAYSIA MY SECOND home ( mm2h ) PROGRAMME CHECKLIST FOR DIRECT APPLICATION 1. Letter of Application (cover letter); o Include information on personal background, intention to join the mm2h Programme, if joining as a single or with family and briefly explain how you will support your stay in MALAYSIA (financial capabilities) 2. A copy of resume by the main applicant which includes the following information: o Academic qualification o Working experience o Skills or expertise acquired 3. One (1) copy of mm2h Application Form (downloadable from mm2h website) Note: Form has to be completed individually for main applicant and all dependents.

lampiran 9 jabatan imigresen malaysia borang permohonan pas lawatan visit pass application form peraturan-peraturan imigresen, 1963 [peraturan 11(12) dan 11(15)]

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Transcription of MALAYSIA MY SECOND HOME (MM2H) CENTRE …

1 NO. DOKUMEN PK.(O). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 1 daripada 2 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA 1 MALAYSIA MY SECOND home ( mm2h ) PROGRAMME CHECKLIST FOR DIRECT APPLICATION 1. Letter of Application (cover letter); o Include information on personal background, intention to join the mm2h Programme, if joining as a single or with family and briefly explain how you will support your stay in MALAYSIA (financial capabilities) 2. A copy of resume by the main applicant which includes the following information: o Academic qualification o Working experience o Skills or expertise acquired 3. One (1) copy of mm2h Application Form (downloadable from mm2h website) Note: Form has to be completed individually for main applicant and all dependents.

2 4. Three (3) copies of Form Social Visit Pass o One (1) original copy (form is downloadable from mm2h website); and o Two (2) photostat copies. Note: Form has to be completed individually for main applicant and all dependents. 5. Four (4) coloured passport sized photographs ( x cm) 6. Copy of Passport/ Travel documents o One (1) copy with certification on personal particulars page (all pages) o Two (2) copies of personal particulars page Note : Copy of the previous passport is required if main applicant/dependent(s) has renewed passport within the last 12 months 7. Letter of Good Conduct from your relevant government agency 8. Self-declaration on main applicant s/ dependents health conditions Form RB I (downloadable from mm2h website) 9.

3 Certified copy of Marriage Certificate (if accompanied by spouse) For direct application only Please tick ( ) For official use Please tick ( ) NO. DOKUMEN PK.(O). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 2 daripada 2 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA 2 10. Certified copy of Birth Certificate/ legal documents (if accompanied by children/ adopted children/ stepchildren/ parents); o Letter of Confirmation from Medical Specialist/ General Practitioner (if accompanied by children aged 21 years and above with disabilities). o Statutory Declaration by main applicant to bear all expenses and financial requirements during stay in MALAYSIA for dependents. o Legal custody documents (for sole custody) and letter of authorization from other parent (for divorced parents accompanied by children) 11.

4 Certified copies of latest 3 months bank statement/ other related financial document(s) to indicate the financial capability to support stay in MALAYSIA ; 12. Certified copies of latest 3 months payslip/ income statement (if employed/pension slip/etc) o The mm2h CENTRE would like to inform that effective 12 July 2012, all mm2h applications must submit bank account statements that shows the latest 3 months deposit for monthly income (either from salary/ rental/ interest earned/ shares/ etc) or government pensions into the applicant s bank accounts 13. Financial Authorization Letter; to verify the financial documents with the relevant financial institutions (downloadable from mm2h website) IMPORTANT NOTES: o All copies must be certified TRUE COPIES OF ORIGINAL DOCUMENTS by EMBASSY/ HIGH COMMISSION/ NOTARY PUBLIC/ GOVERNMENT OFFICIAL.

5 O Where original documents are not in ENGLISH, translation must be done by a qualified translator and CERTIFIED. o Dependent(s) refer to: o spouse o children aged below 21 years (maximum 6 months before reaching 21 years old at time of application) and not married; and o parent(s) of main applicant aged 60 years and above. o Application to include parent(s) as dependents is to be submitted AFTER main applicant s application has been approved. o All documents enclosed with the present application become the property of the MALAYSIA My SECOND home ( mm2h ) CENTRE and will not be returned. For APPROVED Participants: o Security bond is to be submitted for main applicant only o However, for dependents added after application has been approved, Personal Bond has to be submitted for each dependent.

6 O The Security Bond Form must be stamped ( ) by the Stamping Office in Inland Revenue Board of MALAYSIA o The Security Bond is payable in the form of Cash or Bank Draft to the KETUA PENGARAH IMIGRESEN MALAYSIA o The Security Bond Fee can be withdrawn if the participant/ dependent decides to exit from the mm2h Programme o The amount chargeable is according to Country of Origin of the applicant/ participant. Please refer to Rate of Security Bond by Country. For direct application only Please tick ( ) For official use Please tick ( ) LAMPIRAN 9 JABATAN IMIGRESEN MALAYSIA borang PERMOHONAN PAS LAWATAN VISIT PASS APPLICATION FORM PERATURAN-PERATURAN IMIGRESEN, 1963 [Peraturan 11(12) dan 11(15)] IM. 12 - Pin. 1/97 *Jenis Pas Iktisas Sosial Berniaga Kerja Sementara Type of Pass Professional Social Business Temporary Employment *Jenis Permohonan Baru Lanjutan Gambar Pemohon Type of Application New Extension Photograph Of A.

7 MAKLUMAT PEMOHON Applicant PARTICULARS OF APPLICANT ( cm x cm) 1. Nama Penuh (Huruf Besar) Full Name (Capital Letter) 2. *Jantina Lelaki Perempuan 3. Tempat/Negara Lahir Gender Male Female Place/Country of Birth 4. **Tarikh Lahir 5. Warganegara Date of Birth Nationality hari bulan tahun day month year B. MAKLUMAT PASPORT PERJALANAN / DOKUMEN PERJALANAN PARTICULARS OF PASSPORT / TRAVEL DOCUMENT 6. Jenis Dokumen Perjalanan 7. Nombor Type of Travel Document Number 8. Tempat / Negara Dikeluarkan 9. **Sah Sehingga Place / Country of Issue Valid Until hari bulan tahun day month year C.

8 MAKLUMAT PENGANJUR DI MALAYSI A PARTICULARS OF SPONSOR IN MALAYSIA 10. Nama Penuh (Huruf Besar) Full Name (Capital Letter) 11. No. Kad Pengenalan 12. No. Telefon NRIC Telephone No. 13. Alamat Address Negeri State D. KEPERLUAN VISA VISA REQUIREMENT 14. *Adakah Visa Diperlukan Ya Tidak Visa Requirement Yes No 15. *Jenis Visa Sekali Perjalanan Berulangkali Perjalanan Type of Visa Single Entry Multiple Entry Tarikh Tandatangan Pemohon / Penganjur Date Signature of Applicant / Sponsor borang ini hendaklah ditaip. Tandakan (x) dalam petak yang berkenaan. ** Format Tarikh 99/99/9999 This form should be typed. Mark (x) in the appropriate box.

9 Date Format DD/MM/YYYY NO. DOKUMEN PK.(O). (L10) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 1 daripada 5 FOR INDIVIDUAL DIRECT APPLICANT / SPOUSE MINISTRY OF TOURISM AND CULTURE MALAYSIA MALAYSIA My SECOND home CENTRE Telephone: +603 88917424 Fax: +603 88917414 APPLICATION FORM FOR THE MALAYSIA MY SECOND home PROGRAMME A. GENERAL Please tick for applied category: 50 Years And Above Below 50 Years Please tick if applicant is accompanied by Spouse Children Please tick location of stay Peninsular MALAYSIA Sabah Sarawak For the age category 50 years and above only, please specify preferred financial requirement (if application is approved): Fixed Deposit of RM150,000 Monthly government pension of RM10,000 B. PARTICULARS OF APPLICANT 1.

10 Full Name (Capital Letters) 2. Please tick ( ) Gender Male Female Ex-Malaysian Malaysian I/C : 3. Marital Status [Please tick ( )] Single Married Divorced Widow/ Widower Other Please Specify: 4. Place of Birth (Country) 5. Date of Birth (dd/mm/yyyy) / / 6. Nationality Passport-sized Photograph of Applicant (coloured) ( x cm) 3 pieces NO. DOKUMEN PK.(O). (L10) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 2 daripada 5 FOR INDIVIDUAL DIRECT APPLICANT / SPOUSE 7. Passport Number 8. Date of Expiry (dd/mm/yyyy) / / 9. Permanent Address 10.