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STA Travel
Mail documents to: STA Travel, VisaHeadquarters 2005 Massachusetts Avenue Washington, DC 20036 Tel: (800)345-6541
Malaysia Tourist visa Application

IMPORTANT: Please enter your contact information
Name: Email: Tel: Mobile:
The latest date you need your passport returned in time for your travel:
Malaysia tourist visa checklist

Filled out and signed Malaysia tourist visa application form. The form is enclosed. Original passport. Passport must have at least 6 months remaining validity and have at least 1 visa page. 1 Photographs. Standard passport photographs 2x2 inches on a white background. Payment. Credit Card Authorization form, Certified Check, or Money Order payable to STA Travel, VisaHeadquarters. Return mailer. Prepaid self-addressed return label or payment for FedEx.
If you wish to prepay return shipping, please add the shipping fee to the total and provide the return shipping address:
Name: Company: Address:
FedEx 2nd day delivery - add $15 FedEx Standard Overnight - add $20 FedEx Priority Overnight - add $25 FedEx Saturday delivery - add $45 FedEx First Overnight - add $65 Prepaid self addressed mailer - $0 Local pick up in Washington, D.C. - $0
City: State: Zip:
Proof of status. Copy of Green Card or other proof of legal status in the US (such as copy of I-20, I-94, H1B approval notice, etc.) Itinerary. Copy of round trip tickets or itinerary. Bank statement. Copy of the applicant's most recent monthly bank statement. The statement must clearly show the applicant's name as the account holder, the balances of the accounts, and the date of the statement. Employment Letter. Copy of a letter from your employer on business letterhead, with contact details, stating that a leave of absence has been granted, purpose and duration of the trip, and that you will be returning to your current job. If you are self-employed, include a copy of your business license and tax return. For students, please submit an official letter from your school indicating that you are in good standing and that you are registered for the upcoming semester. If you are retired please submit proof of your retirement fund.
STA Travel, VisaHeadquarters, 2005 Massachusetts Avenue, Washington, DC 20036, Tel: (202)558-2216
STA Travel
Hotel Reservations. Copy of confirmed hotel reservations. Personal Invitation. If visiting friends or family, you must provide letter of invitation with the contact information of the host and visitor, purpose and duration of the visit, confirmation of accommodation including the address, signature and date. You will also need to provide proof of the host's status in Malaysia ie. copy of their Malaysia passport's information page, or, if they are not a citizen of Malaysia, copies of their Malaysia residence permit and their national passport's information pages.
STA Travel
Credit Card Authorization Form

I authorize STA Travel, VisaHeadquarters to charge my credit card for the amount of $ Name on the Credit Card: Credit Card number: Exp. date: Credit Card Billing Address: / -
Signature:
Comments:
Thank you! We accept all major credit cards.
JABATAN IMIGRESEN MALAYSIA BORANG PERMOHONAN VISA VISA APPLICATION FORM

IM. 47 Pin. 1/97
*Jenis Permohonan Type of Application
Dalam Malaysia In Malaysia
Seberang Laut Oversea
A. MAKLUMAT PEMOHON PARTICULARS OF APPLICANT

1. Nama Penuh (Huruf Besar) Full Name (Capital Letter)
Gambar Pemohon Photograph Of Applicant (3.5 cm 5.0 cm)
2. *Jantina Gender 3. Tempat/Negara Lahir Place/Country of Birth 4. **Tarikh Lahir Date of Birth
Lelaki Male
Perempuan Female
5. Warganegara Nationality hari day bulan month tahun year
6. Pekerjaan Occupation 7. Alamat Address
8. Taraf Perkahwinan Marital Status
Belum Berkahwin Single
Berkahwin Married
B. MAKLUMAT PASPORT PERJALANAN / DOKUMEN PERJALANAN PARTICULARS OF PASSPORT / TRAVEL DOCUMENT

9. Jenis Dokumen Perjalanan Type Of Travel Document 10. Nombor Number
11. Tempat / Negara DiKeluarkan Place/ Country Of Issue
12. **Sah Sehingga Valid Until
hari day
bulan month
tahun year
Borang ini hendaklah ditaip. Tandakan (x) dalam petak yang berkenaan. This form should be typed. Mark (x) in the appropriate box.
** Format Tarikh 99/99/9999 Date Format DD/MM/YYYY
C. BUTIR-BUTIR PENGANJUR DI MALAYSIA PARTICULARS OF SPONSOR IN MALAYSIA
13. Nama Penuh ( Huruf Besar) Ful Name(Capital Letter) 14. No.Kad Pengenalan NRIC 16. Alamat Address 15. No Telefon Telephone No.
Negeri State
D. BUTIR-BUTIR PERMOHONAN DETAIL OF APPLICATION

17. Tempoh Tinggal Yang Dicadangkan Duration Of Proposed Stay
Bulan Month
18. *Tujuan Perjalanan Purposed Of Journey
Bercuti Holiday Urusan Perniagaan Business Melawat Saudara Mara / Kawan VisitingFriends / Relatives Bekerja Employment Belajar Study
Transit Transit Urusan Rasmi Official Trip Persidangan Conference Lain-lain (Nyatakan) Other Specify
Tarikh Date
Tandatangan Pemohon / Penganjur Signature of Applicant / Sponsor
Borang ini hendaklah ditaip. Tandakan (x) dalam petak yang berkenaan. This form should be typed. Mark (x) in the appropriate box.
** Format Tarikh 99/99/9999 Date Format DD/MM/YYYY

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STA Travel

Malaysia Tourist visa Application

Malaysia tourist visa checklist

Name: Company: Address:

City: State: Zip:

Credit Card Authorization Form

Thank you! We accept all major credit cards.

JABATAN IMIGRESEN MALAYSIA BORANG PERMOHONAN VISA VISA APPLICATION FORM

*Jenis Permohonan Type of Application

Dalam Malaysia In Malaysia

Seberang Laut Oversea

A. MAKLUMAT PEMOHON PARTICULARS OF APPLICANT

Gambar Pemohon Photograph Of Applicant (3.5 cm 5.0 cm)

5. Warganegara Nationality hari day bulan month tahun year

6. Pekerjaan Occupation 7. Alamat Address

8. Taraf Perkahwinan Marital Status

Belum Berkahwin Single

B. MAKLUMAT PASPORT PERJALANAN / DOKUMEN PERJALANAN PARTICULARS OF PASSPORT / TRAVEL DOCUMENT

11. Tempat / Negara DiKeluarkan Place/ Country Of Issue

12. **Sah Sehingga Valid Until

** Format Tarikh 99/99/9999 Date Format DD/MM/YYYY

C. BUTIR-BUTIR PENGANJUR DI MALAYSIA PARTICULARS OF SPONSOR IN MALAYSIA

D. BUTIR-BUTIR PERMOHONAN DETAIL OF APPLICATION

18. *Tujuan Perjalanan Purposed Of Journey

Tandatangan Pemohon / Penganjur Signature of Applicant / Sponsor

** Format Tarikh 99/99/9999 Date Format DD/MM/YYYY

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