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INLAND REVENUE BOARD OF MALAYSIA

ENTRY AND DEPARTURE SCHEDULE

NAME OF TAX PAYER :


INCOME TAX REFERENCE NUMBER :
PASSPORT NUMBER :

For Office Use Only


NUMBER OF NUMBER OF RESIDENT SECTION
DATE OF PAGE IN DATE OF PAGE IN
Y/A DAYS IN DAYS OUT OF STATUS IN ACP REMARKS
ENTRY PASSPORT DEPARTURE PASSPORT
MALAYSA MALAYSIA (YES / NO) 1967

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