perkhidmatan utama putra international ......emgs & upm account details for fee payment emgs...
TRANSCRIPT
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NO. SEMAKAN : 02 NO. ISU : 02 TARIKH KUATKUASA : 25/05/2017 1 drp. 1
PERKHIDMATAN UTAMA
PUTRA INTERNATIONAL (PUSAT ANTARABANGSA)
UNIVERSITI PUTRA MALAYSIA 43400 UPM Serdang, Selangor, Malaysia
Tel: 603-8946 6048 / 6198 E-mail: [email protected]
Kod Dokumen: SOK/PIC/SS05 CHECKLIST FOR DEPENDANT RENEWAL APPLICATION
PLEASE USE CAPITAL LETTERS
Name:
Passport No:
Expiry Date of passport:
d
d
/
m
m / y y y y
No. Required Documents (Please arrange the document according to the sequence
given)
No of Copy
Tick (If Complete) Office Use
Applicant Help Desk
Counter Staff
1 Checklist for Dependant Extension (SOK/PIC/SS05) 1 2 Visa & Pass Application Form (UPM/PIC/BR01/APPLICATION FORM)
If you have more than 1 dependant, fill up this form once only 1
3 COPY of Confirmation Letter on student current study status - from SGS
2
4 a. LATEST of Family Letter from Embassy (ORIGINAL/ COPY - endorsed by Embassy) b. Translated Marriage Certificate (Endorsed by Embassy) c. Translated Birth Certificate (Endorsed by Embassy)
2
5 • Confirmation Letter from school (If the dependent is schooling in any government/ private/ international/ expatriate schools)
• Official Letter from the embassy (If the dependent is schooling in the Embassy’s school)
6 COPY of Dependant Health Insurance cover note (Endorsed by insurance company)
2
7 A4 sized COPY of dependant passport (Details & Pass page) 1 8 A4 sized COPY of passport (All pages of the passport)
(If latest date entry in old passport, please provide all the pages) *Please write number on each of the pages
2
9 A4 sized COPY of student passport (Details & Pass page) 1 10 Dependant photo (White background) – size 3.5cm x 4.5cm 2 11 ORIGINAL passport – verify purpose - 12 Receipt of payment to EMGS (Refer Page 4 for fee information) 2 13 Receipt of payment to UPM (Refer Page 4 for fee information) 2
Note
1. This checklist is for ONE DEPENDANT PASSPORT application. Additional of other dependant passport will require the same number of copies.
2. Documents which DO NOT follow the specifications are deemed incomplete and will be rejected.
3. Please DO NOT staple your documents and photo. 4. Use a paper clip instead. 5. DO NOT make any travel plans until all application process have been
completed. (Any request to expedite application processing will not be entertained by PIC)
Checked by
Date
2
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SOKONGANPENGURUSANPELAJARDANSTAFANTARABANGSA
PUTRAINTERNATIONALCENTRE
(PUSATANTARABANGSA)KodDokumen:SOK/INT/BR01/VPVISA&PASSAPPLICATIONFORM
NO.SEMAKAN : 00 NO.ISU : 01 TARIKHKUATKUASA : 24/3/2017 1drp.2
TYPEOFAPPLICATION
PLEASETICK(/)NEWSTUDENT STUDENTRENEWAL
SPECIALPASS INVITATION/RELEASE/CLAIM
LETTER
VAL DEPENDENTRENEWAL TRANSFERSTICKER CANCELLATION/SHORTENING
NEWDEPENDENT IKHTISAS/RESEARCHATTACHMENT
STAFF STAFFDEPENDENT
STUDENT’S/STAFF’SPARTICULARS:1.NAME
:
_______________________________________________________________________
2.MATRIC/STAFFNO
:
_________________
GENDER
:
Male
Female
3.NATIONALITY4.PROGRAMME(ForStudentOnly)
:
BachelorMasterPhD
5.PASSPORTNO.
:
________________________________
7.PASSEXPIRYDATE
:
(DD/MM/YYYY)(DD/MM/YYYY)
8.MOBILENO.
:
________________________
9.EMAIL
:
________________________
10.NEARESTMALAYSIAEMBASSY:____________________________________________________(ForVALapplicationonly)
6.EXPIRYDATE:
: _____________________
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NO.SEMAKAN : 00 NO.ISU : 01 TARIKHKUATKUASA : 24/3/2017 2drp.2
DEPENDENT’SPARTICULARS:
NAME PASSPORTNO.PASSPORT
EXPIRYDATESOCIALPASSEXPIRYDATE RELATION
IcertifythatallinformationgiveninthisapplicationistrueandIhavealsosubmittedapplicationformeormydependents:student/workingpass/visitpass(New/Renewal/SpecialPass/Shortening/Endorsement)
..……..……………………………... ………..……………………….. Student/Staff’sSignature Date……………………………………………………………………………………………………………………………………………………………………………………FOROFFICEUSEONLYPAYMENTCHECKLIST:(Note:PleasepresenttheoriginalreceiptfromtheBursarCounterandthecopyoftheReceiptuponsubmissionofyourapplicationtotheCounterofVisa&Pass.)
TYPEOFPAYMENT Student/Staff
Dependent1
Dependent2
Dependent3
Dependent4
Dependent5
Dependent6
NEWAPPLICATION:……………………………………
RENEWAL
SPECIALPASS
TRANSFERSTICKER
SHORTENING/CANCELLATION
INVITATIONLETTER/RELEASELETTER/CLAIMLETTER
LATESUBMISSION
OTHERS:……………………………………
TOTALAMOUNT(RM):
………………………………………… ……………………………………Officer’sSignatureandStamp DatePUTRAINTERNATIONALCENTRE
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EM
GS
UP
ME
MG
SU
PM
EM
GS
UP
ME
MG
SU
PM
EM
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UP
ME
MG
SU
PM
EM
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UP
MA
rgen
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270
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6
63.1
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133
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00
895.
30
60.
00
2
81.5
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2
58.5
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11.
00
1
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2
70.0
0
654
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60.
00
1
24.0
0
6
0.00
88
6.15
6
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272
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30.0
0
249
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30.0
0
64
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60
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Bra
zil
1
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285
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262
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77
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1
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2
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673
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60.
00
1
43.0
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6
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90
5.15
6
0.00
291
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30.0
0
268
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30.0
0
83
.00
60
.00
Cos
ta R
ica
9.00
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82.0
0
270
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6
52.0
0
6
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122
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60.
00
884.
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00
2
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2
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62.0
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60.0
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zech
& S
lova
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1
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2
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662
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60.
00
1
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6
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89
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6
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280
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30.0
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257
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30.0
0
72
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60
.00
Den
mar
k / U
SA
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6
49.0
0
6
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119
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60.
00
881.
15
60.
00
2
67.4
0 30
.00
2
44.4
0 30
.00
59.0
0
60.0
0
D
omin
ican
Rep
ublik
1
2.90
1,1
85.9
0
270
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6
55.9
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6
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125
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60.
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00
2
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2
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65.9
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cuad
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inla
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650
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60.
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1
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6
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268
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30.0
0
245
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0
60
.00
60
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nce
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6
55.9
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6
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00
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05
60.
00
2
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2
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65.9
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aiti
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89.0
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6
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891.
15
60.
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2
77.4
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2
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69.0
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21.
45
1
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2
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664
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60.
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1
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6
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6.60
6
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282
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30.0
0
259
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30.0
0
74
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60
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a
50.
00
1
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2
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693
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60.
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1
63.0
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6
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92
5.15
6
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311
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288
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30.0
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10
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60.0
0
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done
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1
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64.4
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9
34.4
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2
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15
60.
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5
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2
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82.5
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60.
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2
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2
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/ Vie
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6
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258
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0
73
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60
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ama
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127
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297
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274
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0
89
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and
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pain
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GS
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EMGS & UPM ACCOUNT DETAILS FOR FEE PAYMENT EMGS Account: Payment can be made through Maybank counter or online payment (CIMB Click/ Maybank2u). Name of Bank : Maybank Account No. : 514057662341 Account Name : Education Malaysia Global Services Recipient Reference : Matric No./ Passport No. Other Payment Details : Based on Type of Application (Renewal/Cancellation/Shortening/Special Pass etc.)UPM Account: Payment can be made through CIMB counter or online payment (CIMB Click/ Maybank2u). Name of Bank : CIMB Account No. : 8002155042 Account Name : UPM Collection Recipient Reference : Matric No./ Passport No. Other Payment Details : Processing Fee Note: *Please make sure you have made the payment before come to the counter. *Please make two copies of each receipt. *Please make sure the reference number of each receipt is clear.
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PLEASE NUMBER ALL THE COPIES TO AVOID MISSING PAGES AND DELAY AT EMGS
For Example: If Your Passport has 60 pages, then on each page of your photocopy write the
page numbers per total pages, 1-2/60, 3-4/60 … 59-60/60
If Your Passport has 40 pages, then on each page of your photocopy write the
page numbers per total pages, 1-2/40, 3-4/40 … 39-40/40
1-2/60
59-60/60
29-30/60 19-20/60
5-6/60
3-4/60
59-60/60
5-6/60
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ACCEPT
REJECT
4.5 CM
3.5 CM
Taken in front of a plain WHITE background only
Clear and sharp
Taken with a neutral facial expression, mouth closed
COLOUR background
-Smiling with teeth showing- Wrong size
Edited picture, toned/pattern background
Blur picture
Face & shoulder not facing forward
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EX
AM
PLE
PA
SS
PO
RT
NU
MB
ER
NA
ME
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EXAMPLE
PASSPORT NO
TYPE OF APPLICATION