REGISTRATION OF MALAYSIAN CITIZEN OVERSEAS

COUNTRY _______________

• Malaysian national residing overseas are required to register as soon as possible with the
nearest Embassy/High Commission/Consulate General of Malaysia
• Kindly complete this form in full and attach a copy of your passport. Please return it by
email/post to the nearest Embassy/High Commission/Malaysian Consulate.

A. PERSONAL PARTICULARS Recent photograph

Personal Number or identity no in current country:- ________________

Name: _____________________ Other name: ___________

Place of Birth _____________________ Date of Birth: ___________
New Identity Card No._________________ Old Identity Card No: ________________
Colour of Identity Card: _______________ Religion: ________________
Sex: _________________ Occupation: ______________
Details of Malaysian Passport Name of Company:__________
Passport No: __________________ Date of Issue: _____________
Place of Issue: __________________ Expiry Date: ______________
Details of Malaysian Birth Certificate
Birth Certificate No. ______________
Place of Issue: ___________________
Date of Issue: ____________________
Any other Citizenship Documents (ex.- Citizenship Certificate, if any): ______________
Marital Status : ________________

B. FAMILY PARTICULARS
Name of Spouse: _________________________ Nationality of Spouse: ___________
Identity Card No & passport No :________________________________
Occupation: ___________________________
CHILDREN PARTICULARS (IF ANY)
Name of Child Date of Birth Place of Birth Passport No/Birth Certificate No.

PTO
C. PARTICULARS IN CURRENT COUNTRY/PERMANENT ADDRESS

Address: ___________________________________________________

Post Code ______________City____________Country_______________

Tel No.(Home) ______________________(Work) ______________________

Mobile No: _______________________ E-mail Address: ______________

Date of Arrival in Current Country: _________________ Visa Status:________
Date Permanent Residence Granted: ________________

Name, Address and Telephone numbers of contact person(s) (In case of Emergencies only)

D. PARTICULARS OF NEXT-OF-KIN IN MALAYSIA

Name (s) :________________________________________________________

Permanent Address : ________________________________________________

Contact Nos: ______________________________________________________

Yours address in Malaysia when you go home for holidays or permanently:

_________________________________________________________________

E. PURPOSE OF RESIDENCE IN CURRENT COUNTRY :

____________________________

If you are an exchange student/private from Malaysia, please complete the following:-

Name of Sponsor (Govt/Private): ____________________________________

University in Denmark/Sweden/Norway/Iceland:___________________________

Address: ______________________________________________________

Courses: ______________________Level of Study: ___________________

Date course starts: _________________ Expected Date of Completion: _______
Previous Academic Institution in Malaysia: ______________________

If you are on an employment/Expatriate Contract, please complete the following:-

Name of Employer : ___________________________Validity of Work Permit: ___

Address of Employer:__________________________

Academics Background (Level of Education):____________________

Date:_____________ Signature: _____________

Mode of Registration: Register in Person/By Post/By Fax/E-mail