Application Form for Tax Exemption (Personal Car) - Malaysia My ...

MM2H/07 (1)
APPLICATION FOR EXEMPTION OF TAX AND DUTY ON MOTORCAR UNDER THE
MALAYSIA MY SECOND HOME PROGRAMME (MM2H)
A. TYPE OF APPLICATION [Please Mark X]
Import [to import a motor car which belongs to the applicant from country of
residence/domicile]
Purchase [to purchase a new motorcar made or assembled in Malaysia]
B. APPLICANT DETAILS
1. Applicant’s Name:________________________________________________________________________
2. Nationality : _____________________________________________Age: ______________________
3. Passport No. : ______________________________________Visa No.:__________________________
4. Country Of Residence/Domicile: ___________________________________________________________
5. Date Of Approval Letter From Immigration Department, Malaysia (that Applicant Is participant of the
MMSH): _________________________________________ For A Period Of:____________________________ years
6. Period of Visa approval as a MM2H Participant: From ____________________To__________________
7. Address In Malaysia: __________________________________________________________________
________________________________________________________________________________________
8. Mailing Address: _________________________________________________________________________
________________________________________________________________________________________
9. Tel. Number: _____________________________________Fax No :_______________________________
Mobile Phone:_____________________________________ E-Mail Address:________________________
10. Contact Person:___________________________________ (name) H/P No:________________________
C. THE MOTORCAR [IMPORT]
1. Motorcar
i. Brand/Model : _________________________________________________________________
ii. Chassis Number : _________________________________________________________________
iii. Engine Number : _________________________________________________________________
iv. Registration Date(as a owner): ________________________________________________________
v. Import From (Country): _____________________________________________________________

MM2H/07 (1)
2. Motorcar Registration Details [ Please mark X ]
The car will be registered under applicant’s name.
The car will be registered under spouse’s name.
3. Spouse [ If registered under spouse’s name]
(i) Spouse’s name: _________________________________________________________
(ii) Nationality: _________________________________________________________
D. THE MOTORCAR [PURCHASE]
4. Motorcar
i. Brand/Model: _________________________________________________________
ii. Chasis Number: _________________________________________________________
iii. Engine Number: _________________________________________________________
5. Motorcar Registration [Please Mark X]
The car will be registered under applicant’s name.
The car will be registered under spouse’s name.
6. Spouse [If registered under spouse’s name]
(i) Spouse’s name: _________________________________________________________
(ii) Nationality: _________________________________________________________
(please attach a certified copy of the international passport on the page of particulars; and the page with multiple entry visa as well
as the word Malaysia My Second Home Programme)
E. APPLICANT’S DECLARATION
I__________________________________________hereby declare all the above information is true and correct.
Date: _______________________
_______________________________
Applicant’s Signature
F. AUTHORISATION
I ________________________________________________________ bearing passport number
________________________from_________________________________(country of origin) hereby
authorise____________________________________________________________(name of agent) holding
Identity Card no:**___________________________________________________________from the
________________________________________________________________________(name of company)
to transact and collect the final approval letter for the tax free car granted under the MM2H
program on my behalf.
Date:_________________________
**Please attach two (2) copies of Identity Card (Certified True Copy)
____________________________
Applicant’s Signature