SENARAI SEMAK / CHECKLIST PERMOHONAN PAS KHAS APPLICATION FOR SPECIAL PASS NAME OF APPLICANT : -------------------------------------------------------------------------------------------------- FACULTY : -------------------------------------------------------------------------------------------------- TELEPHONE NUMBER : -------------------------------------------------------------------------------------------------- E-MAIL : -------------------------------------------------------------------------------------------------- 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 (1 st 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