IMMIGRATION CLEARANCE & ARRIVAL INFORMATION FORM

INTERNATIONAL SUPPORT TEAM (603-91018880 ext 3604/3202) UCSI Education Sdn. Bhd. (185479-U) Website: www.ucsiuniversity.edu.my

IMMIGRATION CLEARANCE

Visa Approval Letter (VAL) approved by Ministry of Education and Higher Learning . Date of Approval: ______(dd/mm/yy)

STUDENT PARTICULARS

Student Name: (as written in passport) UCSI Student Identification No:

Passport No: Student Personal Email:

Nationality: Student Home Contact/Mobile No:

Gender : Male Female Luggage Info: Small Medium Large

Any Accompanying Family Member: No Yes, (No. of pax :______) FLIGHT DETAILS From Home Country to Departure Details

Date: dd/mm/yy Time: 24 hrs.

Airport & City: Airline & Flight No:

Arrival Details Date: dd/mm/yy Time: 24 hrs.

Malaysia : Airline & Flight No:

Kuala Lumpur International Airport (KLIA) Kuala Lumpur International Airport 2 (KLIA-2)

Subang Airport (Sultan Abdul Aziz Shah Airport or SkyPark Subang)

From Kuala Lumpur to

Departure Details

Date: dd/mm/yy Time: 24 hrs.

Airport & City: Airline & Flight No:

Arrival Details Date: dd/mm/yy Time: 24 hrs.

Malaysia Airport: Airline & Flight No:

Sultan Mahmud Airport (TGG)

IMMIGRATION CLEARANCE & ARRIVAL INFORMATION FORM

INTERNATIONAL SUPPORT TEAM (603-91018880 ext 3604/3202)

ACCOMMODATION CHECK-IN On-campus Own Accommodation

DECLARATION I hereby confirm that the information I have given is complete and accurate. I understand that failure to provide correct information will result in a delay of assistance for Immigration Clearance and that no arrangements will be made for airport pick-up.

Signature: ...... Date: ......

Important Notice: Please send email to [email protected] seven days (7) prior to your arrival. Immigration Clearance and Pickup Service will be arranged ONLY if you provide correct information. Failure to do so will result in a delay of assistance for Immigration Clearance and pick-up arrangements.

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