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    Imm 16A Form 16A Malaysia Immigration Regulations 1963 Application For Residence Pass (Regulation 16A)

    Uploaded by

    Anand Sarvesvaran
    Form 16A is an application for a residence pass in Malaysia according to Immigration Regulation 1963. It collects personal details of the applicant such as name, date of birth, address, passport information, and reason for application. A local sponsor within Malaysia must also provide a declaration in support of the application, certifying they have known the applicant for a specified period, the applicant is not prohibited from entering Malaysia, and the statements in the application are true. The sponsor must also endorse a photo of the applicant attached to the application.

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    Imm 16A Form 16A Malaysia Immigration Regulations 1963 Application For Residence Pass (Regulation 16A)

    Uploaded by

    Anand Sarvesvaran
    2K views2 pages
    Form 16A is an application for a residence pass in Malaysia according to Immigration Regulation 1963. It collects personal details of the applicant such as name, date of birth, address, passport information, and reason for application. A local sponsor within Malaysia must also provide a declaration in support of the application, certifying they have known the applicant for a specified period, the applicant is not prohibited from entering Malaysia, and the statements in the application are true. The sponsor must also endorse a photo of the applicant attached to the application.

    Original Title

    FORM_16A

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    Form 16A is an application for a residence pass in Malaysia according to Immigration Regulation 1963. It collects personal details of the applicant such as name, date of birth, address, passport information, and reason for application. A local sponsor within Malaysia must also provide a declaration in support of the application, certifying they have known the applicant for a specified period, the applicant is not prohibited from entering Malaysia, and the statements in the application are true. The sponsor must also endorse a photo of the applicant attached to the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    Imm 16A Form 16A Malaysia Immigration Regulations 1963 Application For Residence Pass (Regulation 16A)

    Uploaded by

    Anand Sarvesvaran
    Form 16A is an application for a residence pass in Malaysia according to Immigration Regulation 1963. It collects personal details of the applicant such as name, date of birth, address, passport information, and reason for application. A local sponsor within Malaysia must also provide a declaration in support of the application, certifying they have known the applicant for a specified period, the applicant is not prohibited from entering Malaysia, and the statements in the application are true. The sponsor must also endorse a photo of the applicant attached to the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    IMM 16A

    FORM 16A
    MALAYSIA
    IMMIGRATION REGULATIONS 1963

    APPLICATION FOR RESIDENCE PASS Photo


    [Regulation 16A] (Pasport Size)

    PERSONAL DETAILS
    1. Full name :
    (In block letter)

    2. Other name (if any) :


    (In block letter)

    3. Gender : Male 4. Date of Birth :


    (DD/MM/YY)
    Female 5. Place of Birth :

    6. Religion :
    7. Current Address in Malaysia :

    8. Contact Number : 9. Academic qualification :

    10. Email Address :

    11. PARTICULARS OF TRAVEL DOCUMENT HELD

    (a) Travel Document’s Number : (b) Expiry Date :


    (DD/MM/YY)
    (c) Issuance Country : (d) Malaysia Identity Card :
    Number (if any)
    12. If Visa granted before arrival, state

    (a) Reference Number :


    (b) Place of Issue :
    (c) Expiry Date :
    (DD/MM/YY)
    13. Date of current entry : 14. Date up to which :
    (DD/MM/YY) current pass in valid (DD/MM/YY)

    15. Reason for application :

    16. Date : 17. Signature of applicant : ………………………......


    (DD/MM/YY)
    Left Index Finger Right Index Finger
    IMM 16A
    DECLARATION BY LOCAL SPONSOR IN SUPPORT OF AN ALLPICATION FOR A
    RESIDENCE PASS

    I, the undersigned, wish to sponsor the above application:

    Particular of myself are as follows :

    Full name :

    Gender : Male Date of Birth : (DD/MM/YY)


    Female Place of Birth :

    Identity Card Number :

    Profession / Occupation :

    Company’s Correspondence :

    Address

    Current Address :

    Contact Number : Email address :

    Relationship :

    Hereby certify that ;-

    (a) I have known ……………………………………………personally for a


    period of …………………………….years ;
    (b) He / She is not the best of my knowledge and belief within the category
    of persons prohibited to enter into Malaysia ;
    (c) The statement made by him / her in the application are true.

    Further certify that the attached photographs, one of which I have endorsed accordingly on the back, are true
    hereness of the applicant.

    Dated this ………… day of …………………….. 20 ……..

    ……………………………………………

    Signature of sponsor

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