Application for Extension of Visit Pass - Malaysia
This file is used to apply for an extension of the visit pass in Malaysia. It includes sections for personal details, travel document particulars, and reasons for extension. The form must be completed in duplicate and submitted to the relevant authorities.
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How do I fill this out?
To fill out this form, provide accurate personal details, travel document information, and state the reasons for seeking an extension. Make sure to complete all sections in block letters and in duplicate. Detailed instructions will follow in the subsequent sections.

How to fill out the Application for Extension of Visit Pass - Malaysia?
1
Provide your full name and other relevant personal details.
2
Fill in information about your travel documents and their validity.
3
State the reference number and place of issue if a visa was granted before arrival.
4
Enter the date of your present entry and the method of entry.
5
Specify the period of extension sought and the reasons for the extension.
Who needs the Application for Extension of Visit Pass - Malaysia?
1
Tourists who wish to extend their stay in Malaysia.
2
Business travelers requiring more time to complete their engagements.
3
Students needing additional time to finish their courses or programs.
4
Individuals visiting family members and seeking to extend their visit.
5
Patients undergoing medical treatment that requires an extended stay.
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What are the instructions for submitting this form?
Complete the form in duplicate and submit it to the nearest Malaysian Immigration office. Ensure all sections are filled out accurately. You may submit the completed form in person, via mail, or through any other officially accepted means of submission. Contact the relevant immigration office for specific submission guidelines and their contact information. Additionally, ensure you carry all required supporting documents during submission for timely processing.
What are the important dates for this form in 2024 and 2025?
Please refer to the official guidelines for the most accurate dates regarding the submission deadlines for 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to facilitate the official request for an extension of a visit pass in Malaysia. It is designed for individuals whose initial visit period is nearing its end and who require additional time to stay for various reasons such as tourism, business, education, or family visits. This form helps streamline the process and ensures that all necessary details and justifications for the extension are documented and submitted to the relevant authorities.

Tell me about this form and its components and fields line-by-line.

- 1. Nama Penuh: Your full name in block letters.
- 2. Nama-nama lain (kalau ada): Other names if any in block letters.
- 3. Jantina: Your gender.
- 4. Tarikh Lahir: Your date of birth.
- 5. Tempat Lahir: Your place of birth.
- 6. No. Kad Pengenalan Malaysia (kalau ada): Malaysian Identity Card Number if any.
- 7. No. Kad Pengenalan Singapura (kalau ada): Singapore Identity Card Number if any.
- 8. Alamat penuh di Malaysia: Your full address in Malaysia.
- 9. BUTIR-BUTIR SURAT PERJALANAN YANG DIMILIKI: Details of your travel document.
- 10. Nombor Surat Perjalanan: Number of the travel document.
- 11. Berlaku Sehingga: Validity period of the travel document.
- 12. Negeri dikeluarkan: Country where the travel document was issued.
- 13. Rupabangsa/Kerakyatan: Your nationality or citizenship.
- 14. Kalau Visa diberi sebelum tiba, sebutkan: Details if visa was granted before arrival.
- 15. Tarikh Masuk Sekarang: Date of present entry.
- 16. Cara Masuk: Method of entry.
- 17. Pas sekarang berlaku sehingga tarikh: Date up to which current pass is valid.
- 18. Masa lanjutan diminta: Period of extension sought.
- 19. Sebab-sebab meminta lanjutan: Reasons for seeking extension.
- 20. Tarikh: Date of application.
- 21. Tandatangan pemohon: Signature of the applicant.
What happens if I fail to submit this form?
If you fail to submit this form, your request for an extension of the visit pass will not be processed.
- Overstaying Penalty: You may incur fines for overstaying in Malaysia beyond your permitted period.
- Legal Consequences: You may face legal action for violating immigration laws.
- Deportation Risk: You could be deported from Malaysia for not having valid permit to stay.
How do I know when to use this form?

- 1. Tourism Extension: Extending your stay to continue exploring tourist attractions in Malaysia.
- 2. Business Extension: Seeking more time to complete business engagements or meetings.
- 3. Educational Extension: Needing extra time to finish your studies or courses.
- 4. Family Visit: Extending your stay to spend more time with family members.
- 5. Medical Treatment: Requiring an extension due to ongoing medical treatment.
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