LetterOfGoodConduct Foreigners

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    MINISTRY OF FOREIGN AFFAIRS MALAYSIAWISMA PUTRANO 1, JALAN WISMA PUTRA

    PRECINT 262602 PUTRAJAYA

    Telefon : (603) 8887 4000/4100/ 4264/ 4201Fax : (603) 03 8889 1717

    CERTIFICATE OF GOOD CONDUCT FOR FOREIGNERS / NON-MALAYSIANS

    INSTRUCTIONS For official used only

    1. Please fill in the form using CAPITAL LETTER.

    2.All details are mandatoryPlease mark (x) at the area mark (*)

    Note :

    Clause 9 & 10 are meant for those holding PermanentResident status

    Mode of ApplicationAt Counter

    Via Post

    Via Diplomatic Bag

    1. Name as in passport

    2. *Gender Male Female

    3. Country of Origin 4. Nationality

    5. Address of Resident / Correspondence Address

    6. Date of Birth / /

    Day Month Year

    7. Phone No. ( Office / House )

    ( Mobile )

    8. Place of Birth (Country)

    9. Permanent Resident ( Old )

    Identity Card No.( New ) - -

    10. Place Issued

    11. Passport No.

    12. / /

    Day Month Year

    13. Place of Issuanceof Passport

    Passpo rt Size

    Photograph

    R I T A A / P S A N D A R A S A G R A M

    /

    MA L A Y S I AS I N G A P O R E

    3 6 M E D A N L A H A T B A R U3 1 5 0 0, L A H A T B A R U

    17 07 19 8 9

    0 1 6 5 9 5 0 7 5 2

    I P O H P E RA K

    8 9 0 7 1 7 0 8 5 4 6 8

    I P O H

    I P O H P E R A K

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    14. Last Occupation / Place of Study in Malaysia

    15. Name & Address of Last Employer / Education Institution in Malaysia

    16. *Purpose of Application

    Study Accompanying Spouse / Parents / Guardian

    Employment Permanent Resident

    Citizenship Application Others

    17. If Others please state

    18. Country requiring certificate

    I hereby confirm that all of the details given above are correct.

    Signature Date :

    Disclaimer:

    N O

    R I T A A / P S A N D A R A S A G R A M

    S P M

    /

    NO

    S I N G A P O R E

    2/11/2012

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    MINISTRY OF FOREIGN AFFAIRS MALAYSIAWISMA PUTRANO 1, JALAN WISMA PUTRA

    PRECINT 262602 PUTRAJAYA

    Telefon : (603) 8887 4000/4100/ 4264/ 4201Fax : (603) 03 8889 1717

    CERTIFICATE OF GOOD CONDUCT FOR FOREIGNERS / NON-MALAYSIANS

    INSTRUCTIONS For official used only

    1. Please fill in the form using CAPITAL LETTER.

    2.All details are mandatoryPlease mark (x) at the area mark (*)

    Note :

    Clause 9 & 10 are meant for those holding PermanentResident status

    Mode of ApplicationAt Counter

    Via Post

    Via Diplomatic Bag

    1. Name as in passport

    2. *Gender Male Female

    3. Country of Origin 4. Nationality

    5. Address of Resident / Correspondence Address

    6. Date of Birth / /

    Day Month Year

    7. Phone No. ( Office / House )

    ( Mobile )

    8. Place of Birth (Country)

    9. Permanent Resident ( Old )

    Identity Card No.( New ) - -

    10. Place Issued

    11. Passport No.

    12. / /

    Day Month Year

    13. Place of Issuanceof Passport

    Passpo rt Size

    Photograph

    R I T A A/ P S A N D A R A S A G R A M

    /

    S I N G A P O R E M A L A Y S I A

    3 6 , M E D A N L A H A T. ............................................

    1

    7 0 7 1 9 8 9

    0 1 6 5 9 5 0 7 5 2

    I P O H P E R A K

    8 9 0 7 1 7 08 5 4 6 8

    I P O H

    1 8 7 5 6 8 5 6

    17 0 7 1 9 8 9

    I P O H

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    14. Last Occupation / Place of Study in Malaysia

    15. Name & Address of Last Employer / Education Institution in Malaysia

    16. *Purpose of Application

    Study Accompanying Spouse / Parents / Guardian

    Employment Permanent Resident

    Citizenship Application Others

    17. If Others please state

    18. Country requiring certificate

    I hereby confirm that all of the details given above are correct.

    Signature Date :

    Disclaimer:

    I P O H

    R I T A A/ P S A N D A R A S A G R A M

    /

    N O

    S I N G A P O R E

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    ISSUANCE OF GOOD CONDUCT CERTIFICATE

    Foreigners (those who have stayed in Malaysia 1 year and beyond)who wish to apply for the Good Conduct certificate could do so asfollows:

    Application can be made at the Consular Division, Ministry ofForeign Affairs at the following address:

    CONSULAR DIVISIONMINISTRY OF FOREIGN AFFAIRS MALAYSIAWISMA PUTRANO 1, JALAN WISMA PUTRAPRECINT 262602 PUTRAJAYA

    TELEPHONE NO : (603)-88874000

    Each application should be submitted with:

    1. Two (2) copies of application form together with two (2)recent passport size photographs;

    2. Two (2) photostat copies of passport (all visa stamp pages forforeign citizens);Note: Kindly ensure that the passport has a minimum validity

    of nine (9) month from the date of application. If the validityis less than 9 months, kindly renew your passport beforeapplying the Letter of Good Conduct.

    3. An introduction letter from theemployer/school/college/university (for foreign citizens only);

    4. Self-addressed envelope size A4 with sufficient stamp;

    5. Mode of Application and Processing fee:-

    i)At Consular Service Counter : (Application in Person)Ringgit Malaysia Twenty Only (RM 20.00) in cash, PostalOrder or Bank Draft(Payable to: AKAUNTAN NEGARA MALAYSIA)

    ii)Through Mail / By PostRinggit Malaysia Twenty Only (RM 20.00) in Postal Order orBank Draft only(Payable to: AKAUNTAN NEGARA MALAYSIA)

    Do not send cash through mail / by post

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    Processing period is within 1 to 2 months from the date ofsubmission. Certificate will be sent to the applicant using theself-addressed envelope above or can be collected by theapplicant at the Consular Division counter service.

    NOT FOR SALE

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    Please provide your mailing address (No P.O",Box address) for the Consulate to return yourpassport and documents. Please ensure that someone will be present at the address toreceive and sign the delivery of these documents. If the documents are returned to theConsulate, all charges for re-sending the documents will be on your expense.

    Name and Address for passport return:

    Telephone Number: ..