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STA Travel Mail documents to: STA Travel, VisaHeadquarters

2005 Massachusetts Avenue


Washington, DC 20036
Tel: (800)345-6541
vaff1286

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, Name:


please add the shipping fee to the total
and provide the return shipping address: Company:
Address:
FedEx 2nd day delivery - add $15
FedEx Standard Overnight - add $20
City:
FedEx Priority Overnight - add $25
State: Zip:
FedEx Saturday delivery - add $45
FedEx First Overnight - add $65
Prepaid self addressed mailer - $0
Local pick up in Washington, D.C. - $0

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.

STA Travel, VisaHeadquarters, 2005 Massachusetts Avenue, Washington, DC 20036, Tel: (202)558-2216
STA Travel Mail documents to: STA Travel, VisaHeadquarters
2005 Massachusetts Avenue
Washington, DC 20036
Tel: (800)345-6541
vaff1286

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.

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, VisaHeadquarters, 2005 Massachusetts Avenue, Washington, DC 20036, Tel: (202)558-2216
STA Travel Mail documents to: STA Travel, VisaHeadquarters
2005 Massachusetts Avenue
Washington, DC 20036
Tel: (800)345-6541
vaff1286

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.

STA Travel, VisaHeadquarters, 2005 Massachusetts Avenue, Washington, DC 20036, Tel: (202)558-2216
JABATAN IMIGRESEN MALAYSIA
BORANG PERMOHONAN VISA
VISA APPLICATION FORM

IM. 47 Pin. 1/97


*Jenis Permohonan Dalam Malaysia Seberang Laut
Type of Application In Malaysia Oversea
Gambar
Pemohon
A. MAKLUMAT PEMOHON
Photograph Of
PARTICULARS OF APPLICANT Applicant
1. Nama Penuh (Huruf Besar) (3.5 cm 8 5.0
Full Name (Capital Letter) cm)

2. *Jantina Lelaki Perempuan


Gender Male Female
3. Tempat/Negara Lahir
Place/Country of Birth

4. **Tarikh Lahir 5. Warganegara


Date of Birth Nationality
hari bulan tahun
day month year
6. Pekerjaan
Occupation

7. Alamat
Address

8. Taraf Perkahwinan Belum Berkahwin Berkahwin


Marital Status Single Married

B. MAKLUMAT PASPORT PERJALANAN / DOKUMEN PERJALANAN


PARTICULARS OF PASSPORT / TRAVEL DOCUMENT

9. Jenis Dokumen Perjalanan 10. Nombor


Type Of Travel Document Number

11. Tempat / Negara DiKeluarkan 12. **Sah Sehingga


Place/ Country Of Issue Valid Until
hari bulan tahun
day month year

Borang ini hendaklah ditaip. Tandakan (x) dalam petak yang berkenaan. ** Format Tarikh 99/99/9999
Date Format DD/MM/YYYY
This form should be typed. Mark (x) in the appropriate box.
C. BUTIR-BUTIR PENGANJUR DI MALAYSIA
PARTICULARS OF SPONSOR IN MALAYSIA

13. Nama Penuh ( Huruf Besar)


Ful Name(Capital Letter)

14. No.Kad Pengenalan 15. No Telefon


NRIC Telephone No.

16. Alamat
Address

Negeri
State

D. BUTIR-BUTIR PERMOHONAN
DETAIL OF APPLICATION

17. Tempoh Tinggal Yang Dicadangkan Bulan


Duration Of Proposed Stay Month

18. *Tujuan Perjalanan Bercuti Transit


Purposed Of Journey Holiday Transit

Urusan Perniagaan Urusan Rasmi


Business Official Trip

Melawat Saudara Mara / Kawan Persidangan


VisitingFriends / Relatives Conference

Bekerja Lain-lain (Nyatakan)


Employment Other Specify

Belajar
Study

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. Date Format DD/MM/YYYY