SENARAI SEMAK / CHECKLIST
PERMOHONAN PAS KHAS APPLICATION FOR SPECIAL PASS
NAME OF APPLICANT :
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FACULTY :
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TELEPHONE NUMBER :
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E-MAIL :
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BIL.
NO.
DOKUMEN YANG DIPERLUKAN
REQUIRED DOCUMENTS
LENGKAP ( √ )
COMPLETE ( √ )
1 Isi Borang DP11 (Jika Pemegang Pas Penggajian)
Fill up DP11 Form (if Employment Pass Holder)
2 Isi Borang DP11A (Untuk Tanggungan)
Fill up DP11A Form (For Dependant)
3 Isi Borang IMM.55 (Jika Pemegang Pas Ikhtisas)
Fill up IMM.55 Form (if Professional Visit Pass Holder)
4 1 Salinan Pasport (Muka surat pertama dan visa terkini) 1 Copy
of Passport (1st pages and latest visa)
5 Passport Asal
Original Passport
6 Yuran proses RM 100.00
Processing fee RM 100.00
7 Jadual tiket penerbangan
Itinerary flight ticket
Pass/Visa Expired by:
Itinerary Flight Ticket: Must be 30 days after visa expiry
date
Please submit all the documents to:
MS. AZLEN AB RAHMAN
International Relations Centre (UKM Global) Universiti
Kebangsaan Malaysia Level 2 Chancellory Building Tel. No. :
+603-8921 5057 | Email : [email protected]
Submit by: One (1) week before the visa expiry date
