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Form - Personal Bond (Agent).pdf - Malaysia My Second Home

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GOVERNMENT OF MALAYSIA<br />

Immigration Ordinance, 1959<br />

(F.M. 12 of 1969)<br />

Immigration of <strong>Malaysia</strong> Regulation, 1963<br />

(F.L.W. 228/63)<br />

PERSONAL BOND<br />

(Regulations 18)<br />

Stamp<br />

RM10.00<br />

By the stamping<br />

office in Inland<br />

Revenue Board<br />

of <strong>Malaysia</strong><br />

Where’s it is a condition of the issue of a Visit Pass (Social Visit) to me /<br />

of<br />

that there furnished by me / on behalf of the said<br />

will comply with the provisions of the Ordinance and of<br />

any regulations made there under and with any conditions imposed in respect of, or instructions<br />

endorsed on such pass.<br />

Now I, NRIC .<br />

of<br />

do<br />

hereby bind myself that I / the said<br />

will<br />

comply with the provisions of the above Act and of any regulations made there under and with<br />

any special conditions imposed in respect of, or instructions endorsed on such Visit Pass<br />

(Social Visit) pass and in case of my / the said<br />

making default therein, I hereby bind myself to forfeit to the Government of <strong>Malaysia</strong> the<br />

sum of dated this day of at<br />

in the state of .<br />

Signature of the abovenamed<br />

Signed and executed by the abovenamed<br />

In my presence<br />

Signature of Witness :<br />

Fullname of Witness :<br />

Address of Witness :


MALAYSIA MY SECOND HOME<br />

BORANG KENYATAAN PENAJA (SPONSOR DECLARATION FORM)<br />

(SILA SERTAKAN SALINAN KAD PENGENALAN)<br />

Nama Penaja (Sponsor’s Name) :<br />

Alamat (Address) :<br />

No. Telefon (Telephone No.) :<br />

1. Apakah pekerjaan dan pendapatan anda (Occupation and salary)<br />

2. Bagaimanakah anda mengenali pemohon (How did you know the applicant)<br />

3. Pernahkah pemohon datang ke <strong>Malaysia</strong> (Has the applicant come to <strong>Malaysia</strong> before)<br />

4. Apakah pekerjaan pemohon sekarang (Applicant’s present Occupation)<br />

5. Di mana alamat pemohon sekarang (Applicant’s present address)<br />

6. Apakah tujuan pemohon memohon program ini (Reason for applicant applying for this<br />

Programme)<br />

7. Kedudukan kewangan pemohon (nyatakan jumlahnya) :<br />

(Details of applicant’s financial status – give the amount) :<br />

7.1 Bank tempatan (Local bank) :<br />

7.2 Bank luar negeri (Foreign bank) :<br />

7.3 Pencen (Pension) :<br />

7.4 Saham (Shares) :<br />

7.5 Lain-lain (Others) :<br />

8. Adakah pemohon memiliki Insuran Kesihatan Ya/Yes Tidak/No<br />

(Is the applicant covered by Medical Insurance)<br />

9. Adakah anda bertanggungjawab ke atas pemohon dengan menandatangani <strong>Personal</strong> <strong>Bond</strong><br />

(Will you accept responsibility of the applicant by signing the <strong>Personal</strong> <strong>Bond</strong>)<br />

Ya/Yes<br />

Tidak/No<br />

SEGALA KENYATAAN YANG SAYA BERIKAN ADALAH BENAR.<br />

(ALL THE ABOVE STATEMENTS ARE TRUE)<br />

(TANDATANGAN PENAJA / SIGNATURE OF SPONSOR)<br />

TARIKH (DATE) :


Security <strong>Bond</strong>/ Bank Guarantee Rates<br />

RM 2000.00<br />

Canada<br />

USA<br />

Colombia<br />

Angola<br />

Burkina Faso<br />

Burundi<br />

Cameroon<br />

Central African Republic<br />

Republic Congo<br />

Republic Democratic Congo<br />

Cote D'Ivoire<br />

Djibouti<br />

Equatorial Guinea<br />

Eritrea<br />

Ethiopia<br />

Guinea-Bissau<br />

Ghan<br />

Liberia<br />

Mali Mozambique<br />

Niger<br />

Nigeria<br />

Rwanda<br />

Western Sahara<br />

RM1500.00<br />

Saudi Arabia<br />

Africa<br />

Australia<br />

British C.I<br />

Brunei<br />

China<br />

Europe<br />

Iran<br />

Iraq<br />

Portugal C.I<br />

Taiwan<br />

Tunisia<br />

Vietnam<br />

RM500.00<br />

Indonesia<br />

RM1000.00<br />

Japan<br />

South Korea<br />

Macao<br />

Hong Kong<br />

RM 750.00<br />

Bangladesh<br />

Phillipines<br />

India<br />

<strong>My</strong>anmar<br />

Nepal<br />

Pakistan<br />

Sri Lanka<br />

RM300.00<br />

Thailand<br />

RM1000.00<br />

Japan<br />

South Korea<br />

Macao<br />

Hong Kong<br />

Fee for other<br />

countries is<br />

RM1500.00<br />

RM200.00<br />

Singapore<br />

Source : http://www.imi.gov.my/index.php/en/main-services/visa/security-bond<br />

Last Updated on Friday, 09 March 2012 02:10

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