MALAYSIA MY SECOND HOME (MM2H) CENTRE …

1 NO. DOKUMEN PK.(O). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 1 daripada 4 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA MALAYSIA MY SECOND home ( mm2h ) PROGRAMME CHECKLIST FOR APPLICATION THROUGH mm2h LICENSED COMPANY 1. Letter of Application (by the applicant); o Include information on personal background, intention to join the mm2h Programme, if joining as a single or with family and briefly explain how applicant will support his/her stay in MALAYSIA (financial capabilities) 2. A copy of resume by the main applicant (and spouse respectively, if applicable) 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. 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.

2 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 including last entry stamp into MALAYSIA (and its relevant pass Student Pass / Employment Pass etc., if applicable) o Two (2) copies of personal particulars page 7. Personal Bond o Personal Bond is to be submitted for main applicant only o Must be completed and signed by MALAYSIA who is one of the Board of Directors/ Shareholders/ Managing Director/ Manager from the appointed mm2h licensed company. 8. Letter of Good Conduct from main applicant s relevant government agency For agent use only Please tick ( ) For official use Please tick ( ) NO. DOKUMEN PK.(O). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 2 daripada 4 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA 9.

3 Self -declaration on main applicant s/ dependent s health conditions Form RB I (downloadable from mm2h website) 10. Certified copy of Marriage Certificate (if accompanied by spouse) 11. 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) 12. Certified copies of latest 3 months bank statement/ other related financial document(s) to indicate the financial capability to support stay in MALAYSIA 13. Certified copies of latest 3 months payslips and/or government pension (primary source) o In case of insufficient primary source of income, applicants can support themselves with rental, interest or dividend from investment and et cetera (secondary source).

4 O Effective 12 July 2012, all mm2h applications must be supported with 3 months bank statements showing proof of income primary or secondary source credited into applicant s bank account(s). 14. Financial Status Or Account Verification and Job And Salary Verification Authorization Letter; to verify the financial documents as well as job and salary with the relevant parties. institutions (downloadable from mm2h website) For agent use only Please tick ( ) For official use Please tick ( ) NO. DOKUMEN PK.(O). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 3 daripada 4 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA IMPORTANT NOTES: o All copies must be certified TRUE COPIES OF ORIGINAL DOCUMENTS by EMBASSY / HIGH COMMISSION / NOTARY PUBLIC / GOVERNMENT OFFICIAL / SOLICITOR / ADVOCATE / AUDITOR FROM ORIGIN COUNTRY. o Where original documents are not in ENGLISH, translation must be done by a qualified translator and CERTIFIED.

5 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 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 For dependents added after application has been approved, Personal Bond has to be submitted for each dependent. o The Personal Bond Form must be stamped ( ) by the Stamping Office in Inland Revenue Board of MALAYSIA o The amount chargeable is according to Country of Origin of the applicant/ participant. Please refer to Rate of Security/ Personal Bond by Country. NO. DOKUMEN ). (L1) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 4 Daripada 4 MALAYSIA MY SECOND home ( mm2h ) CENTRE Ministry of Tourism and Culture MALAYSIA APPLICATION CHECKLIST FOR MALAYSIA MY SECOND home ( mm2h ) PROGRAMME - REQUIRED DOCUMENTS FROM APPOINTED mm2h LICENSED COMPANY 1.

6 Surat iringan daripada Syarikat Berlesen mm2h ; Cover letter from mm2h licensed company Note : Licensed Company is required to summarize all financial information provided by applicant in the cover letter 2. Salinan lesen syarikat berlesen mm2h yang masih sah tempoh One (1) copy of company s mm2h license which is still valid 3. Surat pengesahan wakil sebagai pekerja di bawah Syarikat Berlesen mm2h Letter of confirmation on employment of representative under the mm2h Licensed Company o Submissions of application by employees of the mm2h Licensed Company other than Managing Director/ Manager have to be included with the above letter confirming employment of that person. 4. Salinan kad pengenalan Lembaga Pengarah/ Pemegang Saham/ Pengarah Urusan/ Pengurus yang menandatangani Bon Peribadi. One (1) copy of the MyKad of Board of Director/ Shareholder/ Managing Director/ Manager who signed the Personal Bond. 5. Borang Kenyataan Penaja (perlu dilengkapkan oleh syarikat berlesen mm2h Sponsor Declaration Form (must be completed by mm2h licensed company) 6.)

7 Surat pengesahan daripada Bahagian Pelesenan Pelancongan, Kementerian Pelancongan dan Kebudayaan MALAYSIA sekiranya tidak dapat mengemukakan lesen syarikat (jika syarikat masih dalam permohonan pembaharuan lesen atau perubahan syarat lesen). Letter of Confirmation from Tourism Licensing Division, Ministry of Tourism and Culture MALAYSIA if the mm2h license is not available (due to renewal or change of company s particulars) o It is important that the appointed mm2h licensed company advises the client to fill out all the sections in the application form and include all relevant documents, as incomplete documentations/ false information will result in the application being rejected. For agent use only Please tick ( ) For official use Please tick ( ) NO. DOKUMEN PK.(O). (L10) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 1 daripada 5 FOR INDIVIDUAL APPLICANT / SPOUSE (THROUGH mm2h LICENSED COMPANY) 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.

8 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. 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.

9 DOKUMEN PK.(O). (L10) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 2 daripada 5 FOR INDIVIDUAL APPLICANT / SPOUSE (THROUGH mm2h LICENSED COMPANY) 7. Passport Number 8. Date of Expiry (dd/mm/yyyy) / / 9. Permanent Address 10. Mailing Address 11. E-mail Address (if any) Country Code Area Code Number 12.

10 Telephone Number 1) - - 2) - - I) If currently employed (Q13 Q16): 13. Current Employment 14. Income (Per Annum) 15. Current Employer/ Organisation 16. Employer s Address NO. DOKUMEN PK.(O). (L10) TARIKH KUATKUASA 11 APRIL 2014 MUKA SURAT 3 daripada 5 FOR INDIVIDUAL APPLICANT / SPOUSE (THROUGH mm2h LICENSED COMPANY) II) If retired (Q17 20) : 17.