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Full Name
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Sex
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Female
Date of Birth
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Email address
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Country / Region Code
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( 93 ) Afghanistan
( 358 ) Åland Islands
( 355 ) Albania
( 213 ) Algeria
( 1 ) American Samoa
( 376 ) Andorra
( 244 ) Angola
( 1 ) Anguilla
( 672 ) Antarctica
( 1 ) Antigua and Barbuda
( 54 ) Argentina
( 374 ) Armenia
( 297 ) Aruba
( 61 ) Australia
( 43 ) Austria
( 994 ) Azerbaijan
( 1 ) Bahamas
( 973 ) Bahrain
( 880 ) Bangladesh
( 1 ) Barbados
( 375 ) Belarus
( 32 ) Belgium
( 501 ) Belize
( 229 ) Benin
( 1 ) Bermuda
( 975 ) Bhutan
( 591 ) Bolivia (Plurinational State of)
( 599 ) Bonaire, Sint Eustatius and Saba
( 387 ) Bosnia and Herzegovina
( 267 ) Botswana
( 47 ) Bouvet Island
( 55 ) Brazil
( 246 ) British Indian Ocean Territory
( 246 ) United States Minor Outlying Islands
( 1 ) Virgin Islands (British)
( 1 340 ) Virgin Islands (U.S.)
( 673 ) Brunei Darussalam
( 359 ) Bulgaria
( 226 ) Burkina Faso
( 257 ) Burundi
( 855 ) Cambodia
( 237 ) Cameroon
( 1 ) Canada
( 238 ) Cabo Verde
( 1 ) Cayman Islands
( 236 ) Central African Republic
( 235 ) Chad
( 56 ) Chile
( 86 ) China
( 61 ) Christmas Island
( 61 ) Cocos (Keeling) Islands
( 57 ) Colombia
( 269 ) Comoros
( 242 ) Congo
( 243 ) Congo (Democratic Republic of the)
( 682 ) Cook Islands
( 506 ) Costa Rica
( 385 ) Croatia
( 53 ) Cuba
( 599 ) Curaçao
( 357 ) Cyprus
( 420 ) Czech Republic
( 45 ) Denmark
( 253 ) Djibouti
( 1 ) Dominica
( 1 ) Dominican Republic
( 593 ) Ecuador
( 20 ) Egypt
( 503 ) El Salvador
( 240 ) Equatorial Guinea
( 291 ) Eritrea
( 372 ) Estonia
( 251 ) Ethiopia
( 500 ) Falkland Islands (Malvinas)
( 298 ) Faroe Islands
( 679 ) Fiji
( 358 ) Finland
( 33 ) France
( 594 ) French Guiana
( 689 ) French Polynesia
( 262 ) French Southern Territories
( 241 ) Gabon
( 220 ) Gambia
( 995 ) Georgia
( 49 ) Germany
( 233 ) Ghana
( 350 ) Gibraltar
( 30 ) Greece
( 299 ) Greenland
( 1 ) Grenada
( 590 ) Guadeloupe
( 1 ) Guam
( 502 ) Guatemala
( 44 ) Guernsey
( 224 ) Guinea
( 245 ) Guinea-Bissau
( 592 ) Guyana
( 509 ) Haiti
( 672 ) Heard Island and McDonald Islands
( 379 ) Vatican City
( 504 ) Honduras
( 36 ) Hungary
( 852 ) Hong Kong
( 354 ) Iceland
( 91 ) India
( 62 ) Indonesia
( 225 ) Ivory Coast
( 98 ) Iran (Islamic Republic of)
( 964 ) Iraq
( 353 ) Ireland
( 44 ) Isle of Man
( 972 ) Israel
( 39 ) Italy
( 1 ) Jamaica
( 81 ) Japan
( 44 ) Jersey
( 962 ) Jordan
( 76 ) Kazakhstan
( 254 ) Kenya
( 686 ) Kiribati
( 965 ) Kuwait
( 996 ) Kyrgyzstan
( 856 ) Lao People's Democratic Republic
( 371 ) Latvia
( 961 ) Lebanon
( 266 ) Lesotho
( 231 ) Liberia
( 218 ) Libya
( 423 ) Liechtenstein
( 370 ) Lithuania
( 352 ) Luxembourg
( 853 ) Macao
( 389 ) North Macedonia
( 261 ) Madagascar
( 265 ) Malawi
( 60 ) Malaysia
( 960 ) Maldives
( 223 ) Mali
( 356 ) Malta
( 692 ) Marshall Islands
( 596 ) Martinique
( 222 ) Mauritania
( 230 ) Mauritius
( 262 ) Mayotte
( 52 ) Mexico
( 691 ) Micronesia (Federated States of)
( 373 ) Moldova (Republic of)
( 377 ) Monaco
( 976 ) Mongolia
( 382 ) Montenegro
( 1 ) Montserrat
( 212 ) Morocco
( 258 ) Mozambique
( 95 ) Myanmar
( 264 ) Namibia
( 674 ) Nauru
( 977 ) Nepal
( 31 ) Netherlands
( 687 ) New Caledonia
( 64 ) New Zealand
( 505 ) Nicaragua
( 227 ) Niger
( 234 ) Nigeria
( 683 ) Niue
( 672 ) Norfolk Island
( 850 ) Korea (Democratic People's Republic of)
( 1 ) Northern Mariana Islands
( 47 ) Norway
( 968 ) Oman
( 92 ) Pakistan
( 680 ) Palau
( 970 ) Palestine, State of
( 507 ) Panama
( 675 ) Papua New Guinea
( 595 ) Paraguay
( 51 ) Peru
( 63 ) Philippines
( 64 ) Pitcairn
( 48 ) Poland
( 351 ) Portugal
( 1 ) Puerto Rico
( 974 ) Qatar
( 383 ) Republic of Kosovo
( 262 ) Réunion
( 40 ) Romania
( 7 ) Russian Federation
( 250 ) Rwanda
( 590 ) Saint Barthélemy
( 290 ) Saint Helena, Ascension and Tristan da Cunha
( 1 ) Saint Kitts and Nevis
( 1 ) Saint Lucia
( 590 ) Saint Martin (French part)
( 508 ) Saint Pierre and Miquelon
( 1 ) Saint Vincent and the Grenadines
( 685 ) Samoa
( 378 ) San Marino
( 239 ) Sao Tome and Principe
( 966 ) Saudi Arabia
( 221 ) Senegal
( 381 ) Serbia
( 248 ) Seychelles
( 232 ) Sierra Leone
( 65 ) Singapore
( 1 ) Sint Maarten (Dutch part)
( 421 ) Slovakia
( 386 ) Slovenia
( 677 ) Solomon Islands
( 252 ) Somalia
( 27 ) South Africa
( 500 ) South Georgia and the South Sandwich Islands
( 82 ) Korea (Republic of)
( 34 ) Spain
( 94 ) Sri Lanka
( 249 ) Sudan
( 211 ) South Sudan
( 597 ) Suriname
( 47 ) Svalbard and Jan Mayen
( 268 ) Swaziland
( 46 ) Sweden
( 41 ) Switzerland
( 963 ) Syrian Arab Republic
( 886 ) Taiwan
( 992 ) Tajikistan
( 255 ) Tanzania, United Republic of
( 66 ) Thailand
( 670 ) Timor-Leste
( 228 ) Togo
( 690 ) Tokelau
( 676 ) Tonga
( 1 ) Trinidad and Tobago
( 216 ) Tunisia
( 90 ) Turkey
( 993 ) Turkmenistan
( 1 ) Turks and Caicos Islands
( 688 ) Tuvalu
( 256 ) Uganda
( 380 ) Ukraine
( 971 ) United Arab Emirates
( 44 ) United Kingdom of Great Britain and Northern Ireland
( 1 ) United States of America
( 598 ) Uruguay
( 998 ) Uzbekistan
( 678 ) Vanuatu
( 58 ) Venezuela (Bolivarian Republic of)
( 84 ) Vietnam
( 681 ) Wallis and Futuna
( 212 ) Western Sahara
( 967 ) Yemen
( 260 ) Zambia
( 263 ) Zimbabwe
Phone number
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Passport number
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Passport expiry date
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Nationality / Citizenship
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AFG - Afghanistan
ALA - Åland Islands
ALB - Albania
DZA - Algeria
ASM - American Samoa
AND - Andorra
AGO - Angola
AIA - Anguilla
ATA - Antarctica
ATG - Antigua and Barbuda
ARG - Argentina
ARM - Armenia
ABW - Aruba
AUS - Australia
AUT - Austria
AZE - Azerbaijan
BHS - Bahamas
BHR - Bahrain
BGD - Bangladesh
BRB - Barbados
BLR - Belarus
BEL - Belgium
BLZ - Belize
BEN - Benin
BMU - Bermuda
BTN - Bhutan
BOL - Bolivia (Plurinational State of)
BES - Bonaire, Sint Eustatius and Saba
BIH - Bosnia and Herzegovina
BWA - Botswana
BVT - Bouvet Island
BRA - Brazil
IOT - British Indian Ocean Territory
UMI - United States Minor Outlying Islands
VGB - Virgin Islands (British)
VIR - Virgin Islands (U.S.)
BRN - Brunei Darussalam
BGR - Bulgaria
BFA - Burkina Faso
BDI - Burundi
KHM - Cambodia
CMR - Cameroon
CAN - Canada
CPV - Cabo Verde
CYM - Cayman Islands
CAF - Central African Republic
TCD - Chad
CHL - Chile
CHN - China
CXR - Christmas Island
CCK - Cocos (Keeling) Islands
COL - Colombia
COM - Comoros
COG - Congo
COD - Congo (Democratic Republic of the)
COK - Cook Islands
CRI - Costa Rica
HRV - Croatia
CUB - Cuba
CUW - Curaçao
CYP - Cyprus
CZE - Czech Republic
DNK - Denmark
DJI - Djibouti
DMA - Dominica
DOM - Dominican Republic
ECU - Ecuador
EGY - Egypt
SLV - El Salvador
GNQ - Equatorial Guinea
ERI - Eritrea
EST - Estonia
ETH - Ethiopia
FLK - Falkland Islands (Malvinas)
FRO - Faroe Islands
FJI - Fiji
FIN - Finland
FRA - France
GUF - French Guiana
PYF - French Polynesia
ATF - French Southern Territories
GAB - Gabon
GMB - Gambia
GEO - Georgia
DEU - Germany
GHA - Ghana
GIB - Gibraltar
GRC - Greece
GRL - Greenland
GRD - Grenada
GLP - Guadeloupe
GUM - Guam
GTM - Guatemala
GGY - Guernsey
GIN - Guinea
GNB - Guinea-Bissau
GUY - Guyana
HTI - Haiti
HMD - Heard Island and McDonald Islands
VAT - Vatican City
HND - Honduras
HUN - Hungary
HKG - Hong Kong
ISL - Iceland
IND - India
IDN - Indonesia
CIV - Ivory Coast
IRN - Iran (Islamic Republic of)
IRQ - Iraq
IRL - Ireland
IMN - Isle of Man
ISR - Israel
ITA - Italy
JAM - Jamaica
JPN - Japan
JEY - Jersey
JOR - Jordan
KAZ - Kazakhstan
KEN - Kenya
KIR - Kiribati
KWT - Kuwait
KGZ - Kyrgyzstan
LAO - Lao People's Democratic Republic
LVA - Latvia
LBN - Lebanon
LSO - Lesotho
LBR - Liberia
LBY - Libya
LIE - Liechtenstein
LTU - Lithuania
LUX - Luxembourg
MAC - Macao
MKD - North Macedonia
MDG - Madagascar
MWI - Malawi
MYS - Malaysia
MDV - Maldives
MLI - Mali
MLT - Malta
MHL - Marshall Islands
MTQ - Martinique
MRT - Mauritania
MUS - Mauritius
MYT - Mayotte
MEX - Mexico
FSM - Micronesia (Federated States of)
MDA - Moldova (Republic of)
MCO - Monaco
MNG - Mongolia
MNE - Montenegro
MSR - Montserrat
MAR - Morocco
MOZ - Mozambique
MMR - Myanmar
NAM - Namibia
NRU - Nauru
NPL - Nepal
NLD - Netherlands
NCL - New Caledonia
NZL - New Zealand
NIC - Nicaragua
NER - Niger
NGA - Nigeria
NIU - Niue
NFK - Norfolk Island
PRK - Korea (Democratic People's Republic of)
MNP - Northern Mariana Islands
NOR - Norway
OMN - Oman
PAK - Pakistan
PLW - Palau
PSE - Palestine, State of
PAN - Panama
PNG - Papua New Guinea
PRY - Paraguay
PER - Peru
PHL - Philippines
PCN - Pitcairn
POL - Poland
PRT - Portugal
PRI - Puerto Rico
QAT - Qatar
UNK - Republic of Kosovo
REU - Réunion
ROU - Romania
RUS - Russian Federation
RWA - Rwanda
BLM - Saint Barthélemy
SHN - Saint Helena, Ascension and Tristan da Cunha
KNA - Saint Kitts and Nevis
LCA - Saint Lucia
MAF - Saint Martin (French part)
SPM - Saint Pierre and Miquelon
VCT - Saint Vincent and the Grenadines
WSM - Samoa
SMR - San Marino
STP - Sao Tome and Principe
SAU - Saudi Arabia
SEN - Senegal
SRB - Serbia
SYC - Seychelles
SLE - Sierra Leone
SGP - Singapore
SXM - Sint Maarten (Dutch part)
SVK - Slovakia
SVN - Slovenia
SLB - Solomon Islands
SOM - Somalia
ZAF - South Africa
SGS - South Georgia and the South Sandwich Islands
KOR - Korea (Republic of)
ESP - Spain
LKA - Sri Lanka
SDN - Sudan
SSD - South Sudan
SUR - Suriname
SJM - Svalbard and Jan Mayen
SWZ - Swaziland
SWE - Sweden
CHE - Switzerland
SYR - Syrian Arab Republic
TWN - Taiwan
TJK - Tajikistan
TZA - Tanzania, United Republic of
THA - Thailand
TLS - Timor-Leste
TGO - Togo
TKL - Tokelau
TON - Tonga
TTO - Trinidad and Tobago
TUN - Tunisia
TUR - Turkey
TKM - Turkmenistan
TCA - Turks and Caicos Islands
TUV - Tuvalu
UGA - Uganda
UKR - Ukraine
ARE - United Arab Emirates
GBR - United Kingdom of Great Britain and Northern Ireland
USA - United States of America
URY - Uruguay
UZB - Uzbekistan
VUT - Vanuatu
VEN - Venezuela (Bolivarian Republic of)
VNM - Vietnam
WLF - Wallis and Futuna
ESH - Western Sahara
YEM - Yemen
ZMB - Zambia
ZWE - Zimbabwe
Next: Travel Information
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Arrival date
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Arrival date to Malaysia
Departure date
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Departure date from Malaysia
Mode of travel
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✈️
Air
🚗
Land
🚢
Sea
Flight / Vessel / Transportation No.
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Last Port of Embarkation before Malaysia
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-- Select Choice --
AFG - Afghanistan
ALA - Åland Islands
ALB - Albania
DZA - Algeria
ASM - American Samoa
AND - Andorra
AGO - Angola
AIA - Anguilla
ATA - Antarctica
ATG - Antigua and Barbuda
ARG - Argentina
ARM - Armenia
ABW - Aruba
AUS - Australia
AUT - Austria
AZE - Azerbaijan
BHS - Bahamas
BHR - Bahrain
BGD - Bangladesh
BRB - Barbados
BLR - Belarus
BEL - Belgium
BLZ - Belize
BEN - Benin
BMU - Bermuda
BTN - Bhutan
BOL - Bolivia (Plurinational State of)
BES - Bonaire, Sint Eustatius and Saba
BIH - Bosnia and Herzegovina
BWA - Botswana
BVT - Bouvet Island
BRA - Brazil
IOT - British Indian Ocean Territory
UMI - United States Minor Outlying Islands
VGB - Virgin Islands (British)
VIR - Virgin Islands (U.S.)
BRN - Brunei Darussalam
BGR - Bulgaria
BFA - Burkina Faso
BDI - Burundi
KHM - Cambodia
CMR - Cameroon
CAN - Canada
CPV - Cabo Verde
CYM - Cayman Islands
CAF - Central African Republic
TCD - Chad
CHL - Chile
CHN - China
CXR - Christmas Island
CCK - Cocos (Keeling) Islands
COL - Colombia
COM - Comoros
COG - Congo
COD - Congo (Democratic Republic of the)
COK - Cook Islands
CRI - Costa Rica
HRV - Croatia
CUB - Cuba
CUW - Curaçao
CYP - Cyprus
CZE - Czech Republic
DNK - Denmark
DJI - Djibouti
DMA - Dominica
DOM - Dominican Republic
ECU - Ecuador
EGY - Egypt
SLV - El Salvador
GNQ - Equatorial Guinea
ERI - Eritrea
EST - Estonia
ETH - Ethiopia
FLK - Falkland Islands (Malvinas)
FRO - Faroe Islands
FJI - Fiji
FIN - Finland
FRA - France
GUF - French Guiana
PYF - French Polynesia
ATF - French Southern Territories
GAB - Gabon
GMB - Gambia
GEO - Georgia
DEU - Germany
GHA - Ghana
GIB - Gibraltar
GRC - Greece
GRL - Greenland
GRD - Grenada
GLP - Guadeloupe
GUM - Guam
GTM - Guatemala
GGY - Guernsey
GIN - Guinea
GNB - Guinea-Bissau
GUY - Guyana
HTI - Haiti
HMD - Heard Island and McDonald Islands
VAT - Vatican City
HND - Honduras
HUN - Hungary
HKG - Hong Kong
ISL - Iceland
IND - India
IDN - Indonesia
CIV - Ivory Coast
IRN - Iran (Islamic Republic of)
IRQ - Iraq
IRL - Ireland
IMN - Isle of Man
ISR - Israel
ITA - Italy
JAM - Jamaica
JPN - Japan
JEY - Jersey
JOR - Jordan
KAZ - Kazakhstan
KEN - Kenya
KIR - Kiribati
KWT - Kuwait
KGZ - Kyrgyzstan
LAO - Lao People's Democratic Republic
LVA - Latvia
LBN - Lebanon
LSO - Lesotho
LBR - Liberia
LBY - Libya
LIE - Liechtenstein
LTU - Lithuania
LUX - Luxembourg
MAC - Macao
MKD - North Macedonia
MDG - Madagascar
MWI - Malawi
MYS - Malaysia
MDV - Maldives
MLI - Mali
MLT - Malta
MHL - Marshall Islands
MTQ - Martinique
MRT - Mauritania
MUS - Mauritius
MYT - Mayotte
MEX - Mexico
FSM - Micronesia (Federated States of)
MDA - Moldova (Republic of)
MCO - Monaco
MNG - Mongolia
MNE - Montenegro
MSR - Montserrat
MAR - Morocco
MOZ - Mozambique
MMR - Myanmar
NAM - Namibia
NRU - Nauru
NPL - Nepal
NLD - Netherlands
NCL - New Caledonia
NZL - New Zealand
NIC - Nicaragua
NER - Niger
NGA - Nigeria
NIU - Niue
NFK - Norfolk Island
PRK - Korea (Democratic People's Republic of)
MNP - Northern Mariana Islands
NOR - Norway
OMN - Oman
PAK - Pakistan
PLW - Palau
PSE - Palestine, State of
PAN - Panama
PNG - Papua New Guinea
PRY - Paraguay
PER - Peru
PHL - Philippines
PCN - Pitcairn
POL - Poland
PRT - Portugal
PRI - Puerto Rico
QAT - Qatar
UNK - Republic of Kosovo
REU - Réunion
ROU - Romania
RUS - Russian Federation
RWA - Rwanda
BLM - Saint Barthélemy
SHN - Saint Helena, Ascension and Tristan da Cunha
KNA - Saint Kitts and Nevis
LCA - Saint Lucia
MAF - Saint Martin (French part)
SPM - Saint Pierre and Miquelon
VCT - Saint Vincent and the Grenadines
WSM - Samoa
SMR - San Marino
STP - Sao Tome and Principe
SAU - Saudi Arabia
SEN - Senegal
SRB - Serbia
SYC - Seychelles
SLE - Sierra Leone
SGP - Singapore
SXM - Sint Maarten (Dutch part)
SVK - Slovakia
SVN - Slovenia
SLB - Solomon Islands
SOM - Somalia
ZAF - South Africa
SGS - South Georgia and the South Sandwich Islands
KOR - Korea (Republic of)
ESP - Spain
LKA - Sri Lanka
SDN - Sudan
SSD - South Sudan
SUR - Suriname
SJM - Svalbard and Jan Mayen
SWZ - Swaziland
SWE - Sweden
CHE - Switzerland
SYR - Syrian Arab Republic
TWN - Taiwan
TJK - Tajikistan
TZA - Tanzania, United Republic of
THA - Thailand
TLS - Timor-Leste
TGO - Togo
TKL - Tokelau
TON - Tonga
TTO - Trinidad and Tobago
TUN - Tunisia
TUR - Turkey
TKM - Turkmenistan
TCA - Turks and Caicos Islands
TUV - Tuvalu
UGA - Uganda
UKR - Ukraine
ARE - United Arab Emirates
GBR - United Kingdom of Great Britain and Northern Ireland
USA - United States of America
URY - Uruguay
UZB - Uzbekistan
VUT - Vanuatu
VEN - Venezuela (Bolivarian Republic of)
VNM - Vietnam
WLF - Wallis and Futuna
ESH - Western Sahara
YEM - Yemen
ZMB - Zambia
ZWE - Zimbabwe
Address (in Malaysia)
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KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
PAHANG
PULAU PINANG
PERAK
PERLIS
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TERENGGANU
SABAH
SARAWAK
WP KUALA LUMPUR
WP LABUAN
WP PUTRAJAYA
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Postcode
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Accommodation of Stay
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HOTEL/MOTEL/REST HOUSE
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