Application form forFree Travel Insurance & Supporting Letter You only need to complete this form once for all applications. TRAVEL MITTA Full name (as per passport) * Passport Number Applicant's LINE apps ID or phone number * Email Address * Applicant's phone number * Purpose of visit * Invited by * Length of stay * First trip to Malaysia * YesNo Arrival TentativeConfirm Date of entering Malaysia Arrival City Mode of Transport FlightTrainShipRoad Vehicle Number Upload Flight / Train / Ship Ticket Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Travelling Party AloneWith Others Number of Arrival Travellers Departure TentativeConfirm Confirm date of Departure Malaysia Departure City Mode of Transport FlightTrainShipRoad Vehicle Number Upload Flight / Train / Ship / vehicle number Information Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Travelling Party AloneWith Others Number of Departure Travellers Attach soft copies of every page of applicant's Monk Certificate, excluding. blank pages. * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Attach softcopy of a passport-sized photo (3.5x5cm) with a blue background. * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB I would like to request for: Supporting Letter Travel Insurance We appreciate your interest in submitting an application. Please note that all applications will be carefully reviewed and evaluated before a decision is made. We strive to ensure that each application is given the attention it deserves, and we will notify you of the outcome as soon as possible. Thank you for your understanding and patience in this process. Sādhu If you are human, leave this field blank. Submit
