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Type of Application
Dalam Malaysia
In Malaysia D Seberang Laut
Oversea D
2 .Jantina
Gender
lelaki
Male D Perempuan
Female D
3. Tempat/Negara lahir
Place/Country of Birth
16. Alamat
Address
Negeri
State
Bercuti
18. *Tujuan Perjalanan
Purpose of Journey Holiday D Transit
Transit D
Urusan Perniagaan
Business
D Urusan
Official Trip
Ras'11i
D
Melawat Saudara Mara I Kawan
Visiting Friends I Relatives
D Persidangan
Conference D
Bekerja
Employment
D Belajar
Study D
Lain-Lain (Nyatakan)
Others (Specify)