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APPLICATION!!!
VISA RENEWAL FORM STUDENT DETAILS
Name (Capital Letter) Mr / Ms
Student ID Visa Expiry Date
Current Programme Name Nationality
Recently Change Programme Yes No Date Change Passport Expiry
Passport No New Entry Date
Level of Study Foundation UG PG Year / Semester
Contact No Sponsor Name
Email Address
*MANDATORY TO FULL FILL THE STUDENT DETAIL FAIL TO DO SO YOUR APPLICATION WILL BE REJECTED*
IMPORTANT NOTES:
Student must submit renewal application FOUR (4) MONTHS prior to the expiry date. Failure to adhere to the timeline, you MUST leave
Malaysia and your application will only be processed after the submission of an EXIT stamp by the Malaysian Immigration Department.
Kindly prepare ONE (1) set of color copy and ONE (1) set of black & white copy for all required document.
EMGS PROCESSING FEES PAYMENT FOR RENEWAL OF STUDENT’S VISA via BANKER’S CHEQUE/ ONLINE TRANSFER
DESCRIPTION RENEWAL (1 YEAR) PROGRESSION/ VARIATION (1 YEAR)
EMGS PROCESSING FEE RM 140.00 RM1000.00
MEDICAL SCREENING RM 250.00
HEALTH INSURANCE (AIA Silver RM20k) RM 400.00 RM 400.00
IKAD RM 50.00 RM 50.00
e-VAL PROCESSING RM 150.00
TOTAL RM 590.00 RM 1850.00
As per advice by
PAYMENT & INSURANCE WITH SERVICE TAX PAYABLE @ 6%
(Exec/Manager)
No Insurance Type Progression/ Progression/ Variation/New Renewal 12 Renewal 6 Renewal 3 Renewal
Variation/New (INDONESIA ONLY) 2 Years Months Months Months _________
1 AIA Silver RM 1919.00 RM 2117.40 RM 598.40 RM 398.40 RM 298.40 RM_________
2 AIA Gold RM 2229.00 RM 2427.40 RM 908.40 RM 553.40 RM 375.90 RM_________
3 AIA Platinum RM 2349.00 RM 2547.40 RM 1028.40 RM 613.40 RM 405.90 RM_________
4 AXA 550 RM 2069.00 RM 2267.40 RM 748.40 RM 473.40 RM 335.90 RM_________
5 HLMT Silver RM 1919.00 RM 2117.40 RM 598.40 RM 398.40 RM 298.40 RM_________
6 HLMT Gold RM 2229.00 RM 2427.40 RM 908.40 RM 553.40 RM 375.90 RM_________
7 HLMT Platinum RM 2349.00 RM 2547.40 RM 1028.40 RM 613.40 RM 405.90 RM_________
Payment Method: -
1) Via Banker’s Cheque “Only”: Bank Islam Seri Iskandar /CIMB Bank Batu Gajah / Maybank Batu Gajah
2) Via Online Payment: Payable to: EMGS Escrow Account 1
Account Number: 514057662341 (Maybank)