ࡱ> FHE R2bjbjo>o>V1 T T$  dIII,%,I"QQQQQ ?"A"A"A"A"A"A"$d$'xe"e"QQHz"FQQ?"?"!!Q 5~I !+""0"!~'~'!~'!4e"e""~' :  PERMOHONAN UNTUK VISA Borang ini dikenakan bayaran sebanyak RM1.00 Im. 38 - Pin 1/93 No. F 047643 Visa No. ............................... Nama Penuh............................................................................................................................................................ (Dengan huruf cerai) Nama dalam Tulisan Cina (Jika berkenaan - SILA TULIS DENGAN TERANG)  Jantina.................................... Tarikh Lahir...................................................Negeri Lahir...................................................................................... Loghat............................................................Kerakyatan....................................................................................... Pekerjaan................................................................................................................................................................. Alamat di Malaysia.................................................................................................................................................. Alamat di luar negeri............................................................................................................................................... Pasport No. ............................................................................................................................................................. (Masukkan nama Kerajaan yang mengeluarkan) (Tempat dikeluarkan) (Tarikh dikeluarkan) Kad Pengenalan No. ............................................................................................................................................... (Tempat dikeluarkan) (Tarikh dikeluarkan) Visa dikehendaki bagi negeri.................................................................................................................................. ................................................................................................................................................................................. Tarikh........................... ............................................ Tandatangan Pemohon (UNTUK KEGUNAAN PEJABAT) (Konsol Visa/..................)......................................................................................................................................... (Tarikh Saringan Akhir...........................)................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. ................................................................................................................................................................................. [Borang ini diterjemahkan oleh Peguan Negara, Malaysia menurut Pemberitahu Undangan No. 12 tahun 1964, P.N. 3630/5-1 ; IMM1 C197166 (12).] JD125115 - PNMB..K.L.     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