GOVERNMENT OF MALAYSIA

Immigration Ordinance 1959

(F.M. 12 of 1969) Stamp
Immigration Regulation, 1963 RM10.00
(P.L.N. 228/63)
PERSONAL BOND
(Regulation 18)

WHEREAS it is a condition of the issue of a Visit Pass (Temporary Employment) to me /

GROUND FLOOR, LOT 1-0, UNIVERSITY PLAZA, JALAN SULAMAN
GANESAN ALAGAR
...................................................of MENGGATAL, 88450 KOTA KINABALU, SABAH
.................................................................. that
(employee) (address)
AS ABOVE
there be furnished by me / on behalf of said .............................................................
(employee)
1500.00
security in the sum of RM .......................... as a guarantee that I / the said .............
AS ABOVE
................................................................ will comply with the provisions of the
(employee)
Ordinance and of any Regulations made thereunder and with any conditions imposed in
respect of or instructions endorsed on such pass.
NAIMAH BINTI AWANG 800717-12-5480
Now I ............................................ NRIC ................................................. of
(employer)
GROUND FLOOR, LOT 1-0, UNIVERSITY PLAZA, JALAN SULAMAN MENGGATAL, 88450 KOTA KINABALU, SABAH
........................................................................................................................... do
(address)
GANESAN ALAGAR
hereby bind myself that I / the said ...................................................................... ....
(employee)
will comply with the provisions imposed in respect of or instructions endorsed on such
AS ABOVE
Visit Pass (Temporary Employment) and in case of my / the said ............................. ...
(employee)
making default therein, I hereby bind myself to forfeit to the Government of Malaysia
1500.00 02 JULAI 19
the sum of RM.................... Dated this ........ day of .................................. 20 .........
KOTA KINABALU SABAH
at .................................... in the state of ..................................................................

Signature of the above named

.............................................

NAIMAH BINTI AWANG

Signed and executed by the above named .......................................... in my presence
Signed of Witness : ....................................................................................
ERNAWATI MOHAMMAD
Full name of witness : ....................................................................................
KOTA KINABALU, SABAH.
Address of witness : ....................................................................................
....................................................................................
....................................................................................