Payment for VISA Dependent New NC (KL)

Please enter information on this form to make payment for Dependent VISA

Name *

Email *

Passport No *

Telephone No (Malaysia) *

Nationality

Number of family members

Visa Validity Date

Date of Submission

NUMBER OF DAYS : Please calculate your days ( Visa Validity Date - Date of Submission ) using the date calculator link on top of the page.

Number of Days

Document Submitted

Documents

Passport

Original Documents

Dependant Pass (New Application）

Dependant Pass (VDR)

Special Pass

130

Shorten Pass

Transfer

Submission of Renewal Documents less than 30 days before expiry date

500

Submission of Renewal Documents less than 60 days from the expiry date

150

Overstay (Less than 7 days) *additional special pass needs to be paid

500

Overstay ( More than 7 days) *additional special pass needs to be paid

Enforcement Cases (Overstay more than 30 days and case referred to enforcement) *additional compound needs to be paid to Immigration

5,000

Crisis Cases (against regulation USM/Immigration/Law)

5,000

Total

MYR

Payment method

Fiuu Payment Gateway (FPX & Credit Card)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*