Registration Form

Requester Information
Name:*
NRIC/Passport:*
Company:*
Date:*
E-mail:*
Contact No.:*
-
Purpose of Visit

Location (Malaysia)

CJ1
Tenant Company Name:
Description of Visit


PJ3
Visitor Information

Name

1.1*
2.1
3.1
4.1
5.1
6.1
7.1
8.1
9.1
10.1
*Please perform new form submission
  for more than 10 visitor.

NRIC/Passport

1.2*
2.2
3.2
4.2
5.2
6.2
7.2
8.2
9.2
10.2
Verification: