checklist for student … & upm account details for fee payment emgs account: payment can be...
TRANSCRIPT
PERKHIDMATAN UTAMA
PUTRA INTERNATIONAL (PUSAT ANTARABANGSA)
UNIVERSITI PUTRA MALAYSIA 43400 UPM Serdang, Selangor, Malaysia
Tel: 603-8946 6048 / 6198 E-mail: [email protected]
Kod Dokumen: SOK/PIC/SS04 CHECKLIST FOR STUDENT RENEWAL APPLICATION
PLEASE USE CAPITAL LETTERS
Name:
Passport No:
Expiry Date of passport:
d
d
/
m
m / y y y y
NO. SEMAKAN : 02 NO. ISU : 02 TARIKH KUATKUASA : 25/05/2017 1 drp. 1
No Required Documents (Please arrange the document according to the sequence given)
No of
Copy
Tick (If Complete) Office Use
Applicant Help Desk
Counter Staff
1 Checklist For Student Renewal Application (SOK/PIC/SS04) 1 2 Visa & Pass Application Form (UPM/PIC/BR01/APPLICATION FORM) 1 3 COPY of latest semester registration slip/ courses (Endorsed by faculty) 2 4 COPY of student latest semester result (Endorsed by faculty) 2 5 COPY of offer letter/ deferment letter (if you deferred in first semester) 2 6 COPY of Health insurance cover note – (Endorsed by insurance company) 3 7 A4 sized COPY of passport (All pages of the passport)
(If latest date entry in old passport, please provide all the pages) *Please write number on each of the pages
2
8 A4 sized COPY passport (Detail & Pass page) 1 9 Photo (White background) – size 3.5 cm x 4.5 cm 2 10 ORIGINAL passport – verify purpose - 11 Receipt of Payment to EMGS (Refer Page 4 for fee information) 2 12 Receipt of Payment to UPM (Refer Page 4 for fee information) 2 Note
1. Documents which DO NOT follow the specifications are deemed incomplete and shall be rejected
2. Pease DO NOT staple your documents and photo. 3. Use a paper clip instead. 4. DO NOT make any travel plans until all application process have been completed.
(Any request to expedite application processing will not be entertained by PIC)
Checked by
Date
SOKONGANPENGURUSANPELAJARDANSTAFANTARABANGSA
PUTRAINTERNATIONALCENTRE
(PUSATANTARABANGSA)KodDokumen:SOK/INT/BR01/VPVISA&PASSAPPLICATIONFORM
NO.SEMAKAN : 00 NO.ISU : 01 TARIKHKUATKUASA : 24/3/2017 1drp.2
TYPEOFAPPLICATION
PLEASETICK(/)NEWSTUDENT STUDENTRENEWAL
SPECIALPASS INVITATION/RELEASE/CLAIM
LETTER
VAL DEPENDENTRENEWAL TRANSFERSTICKER CANCELLATION/SHORTENING
NEWDEPENDENT IKHTISAS/RESEARCHATTACHMENT
STAFF STAFFDEPENDENT
STUDENT’S/STAFF’SPARTICULARS:1.NAME
:
_______________________________________________________________________
2.MATRIC/STAFFNO
:
_________________
GENDER
:
Male
Female
3.NATIONALITY4.PROGRAMME(ForStudentOnly)
:
BachelorMasterPhD
5.PASSPORTNO.
:
________________________________
7.PASSEXPIRYDATE
:
(DD/MM/YYYY)(DD/MM/YYYY)
8.MOBILENO.
:
________________________
9.EMAIL
:
________________________
10.NEARESTMALAYSIAEMBASSY:____________________________________________________(ForVALapplicationonly)
6.EXPIRYDATE:
: _____________________
NO.SEMAKAN : 00 NO.ISU : 01 TARIKHKUATKUASA : 24/3/2017 2drp.2
DEPENDENT’SPARTICULARS:
NAME PASSPORTNO.PASSPORT
EXPIRYDATESOCIALPASSEXPIRYDATE RELATION
IcertifythatallinformationgiveninthisapplicationistrueandIhavealsosubmittedapplicationformeormydependents:student/workingpass/visitpass(New/Renewal/SpecialPass/Shortening/Endorsement)
..……..……………………………... ………..……………………….. Student/Staff’sSignature Date……………………………………………………………………………………………………………………………………………………………………………………FOROFFICEUSEONLYPAYMENTCHECKLIST:(Note:PleasepresenttheoriginalreceiptfromtheBursarCounterandthecopyoftheReceiptuponsubmissionofyourapplicationtotheCounterofVisa&Pass.)
TYPEOFPAYMENT Student/Staff
Dependent1
Dependent2
Dependent3
Dependent4
Dependent5
Dependent6
NEWAPPLICATION:……………………………………
RENEWAL
SPECIALPASS
TRANSFERSTICKER
SHORTENING/CANCELLATION
INVITATIONLETTER/RELEASELETTER/CLAIMLETTER
LATESUBMISSION
OTHERS:……………………………………
TOTALAMOUNT(RM):
………………………………………… ……………………………………Officer’sSignatureandStamp DatePUTRAINTERNATIONALCENTRE
EM
GS
UP
ME
MG
SU
PM
EM
GS
UP
ME
MG
SU
PM
EM
GS
UP
ME
MG
SU
PM
EM
GS
UP
MA
rgen
tina
2
0.15
1,1
93.1
5
270
.00
6
63.1
5
6
0.00
133
.15
60.
00
895.
30
60.
00
2
81.5
5 30
.00
2
58.5
5 30
.00
73.1
5
60.0
0
B
oliv
ia
11.
00
1
,184
.00
2
70.0
0
654
.00
60.
00
1
24.0
0
6
0.00
88
6.15
6
0.00
272
.40
30.0
0
249
.40
30.0
0
64
.00
60
.00
Bra
zil
1
7.00
1,1
90.0
0
270
.00
6
60.0
0
6
0.00
130
.00
60.
00
892.
15
60.
00
2
78.4
0 30
.00
2
55.4
0 30
.00
70.0
0
60.0
0
B
ulga
ria
21.
90
1
,194
.90
2
70.0
0
664
.90
60.
00
1
34.9
0
6
0.00
89
7.05
6
0.00
283
.30
30.0
0
260
.30
30.0
0
74
.90
60
.00
Chi
le
24.
50
1
,197
.50
2
70.0
0
667
.50
60.
00
1
37.5
0
6
0.00
89
9.65
6
0.00
285
.90
30.0
0
262
.90
30.0
0
77
.50
60
.00
Chi
na/S
. Kor
ea
30.
00
1
,203
.00
2
70.0
0
673
.00
60.
00
1
43.0
0
6
0.00
90
5.15
6
0.00
291
.40
30.0
0
268
.40
30.0
0
83
.00
60
.00
Cos
ta R
ica
9.00
1,1
82.0
0
270
.00
6
52.0
0
6
0.00
122
.00
60.
00
884.
15
60.
00
2
70.4
0 30
.00
2
47.4
0 30
.00
62.0
0
60.0
0
C
zech
& S
lova
k
19.
50
1
,192
.50
2
70.0
0
662
.50
60.
00
1
32.5
0
6
0.00
89
4.65
6
0.00
280
.90
30.0
0
257
.90
30.0
0
72
.50
60
.00
Den
mar
k / U
SA
6.00
1,1
79.0
0
270
.00
6
49.0
0
6
0.00
119
.00
60.
00
881.
15
60.
00
2
67.4
0 30
.00
2
44.4
0 30
.00
59.0
0
60.0
0
D
omin
ican
Rep
ublik
1
2.90
1,1
85.9
0
270
.00
6
55.9
0
6
0.00
125
.90
60.
00
888.
05
60.
00
2
74.3
0 30
.00
2
51.3
0 30
.00
65.9
0
60.0
0
E
cuad
or/F
inla
nd
7.
00
1
,180
.00
2
70.0
0
650
.00
60.
00
1
20.0
0
6
0.00
88
2.15
6
0.00
268
.40
30.0
0
245
.40
30.0
0
60
.00
60
.00
Fra
nce
1
2.90
1,1
85.9
0
270
.00
6
55.9
0
6
0.00
125
.90
60.
00
888.
05
60.
00
2
74.3
0 30
.00
2
51.3
0 30
.00
65.9
0
60.0
0
H
aiti
1
6.00
1,1
89.0
0
270
.00
6
59.0
0
6
0.00
129
.00
60.
00
891.
15
60.
00
2
77.4
0 30
.00
2
54.4
0 30
.00
69.0
0
60.0
0
H
unga
ry
21.
45
1
,194
.45
2
70.0
0
664
.45
60.
00
1
34.4
5
6
0.00
89
6.60
6
0.00
282
.85
30.0
0
259
.85
30.0
0
74
.45
60
.00
Indi
a
50.
00
1
,223
.00
2
70.0
0
693
.00
60.
00
1
63.0
0
6
0.00
92
5.15
6
0.00
311
.40
30.0
0
288
.40
30.0
0
10
3.00
60.0
0
In
done
sia
(2ye
ars)
1
5.00
1,4
64.4
0
300
.00
9
34.4
0
120
.00
2
56.0
0
120
.00
890.
15
60.
00
5
52.8
0 60
.00
2
53.4
0 30
.00
68.0
0
60.0
0
Ir
an/Ir
aq
20.
00
1
,193
.00
2
70.0
0
663
.00
60.
00
1
33.0
0
6
0.00
89
5.15
6
0.00
281
.40
30.0
0
258
.40
30.0
0
73
.00
60
.00
Italy
9.50
1,1
82.5
0
270
.00
6
52.5
0
6
0.00
122
.50
60.
00
884.
65
60.
00
2
70.9
0 30
.00
2
47.9
0 30
.00
62.5
0
60.0
0
Li
beria
/ Vie
tnam
1
3.00
1,1
86.0
0
270
.00
6
56.0
0
6
0.00
126
.00
60.
00
888.
15
60.
00
2
74.4
0 30
.00
2
51.4
0 30
.00
66.0
0
60.0
0
M
exic
o
17.
50
1
,190
.50
2
70.0
0
660
.50
60.
00
1
30.5
0
6
0.00
89
2.65
6
0.00
278
.90
30.0
0
255
.90
30.0
0
70
.50
60
.00
Mya
nmar
1
9.50
1,1
92.5
0
270
.00
6
62.5
0
6
0.00
132
.50
60.
00
894.
65
60.
00
2
80.9
0 30
.00
2
57.9
0 30
.00
72.5
0
60.0
0
N
iger
ia
20.
00
1
,193
.00
2
70.0
0
663
.00
60.
00
1
33.0
0
6
0.00
89
5.15
6
0.00
281
.40
30.0
0
258
.40
30.0
0
73
.00
60
.00
Pan
ama
1
4.50
1,1
87.5
0
270
.00
6
57.5
0
6
0.00
127
.50
60.
00
889.
65
60.
00
2
75.9
0 30
.00
2
52.9
0 30
.00
67.5
0
60.0
0
P
hilip
pine
s
36.
00
1
,209
.00
2
70.0
0
679
.00
60.
00
1
49.0
0
6
0.00
91
1.15
6
0.00
297
.40
30.0
0
274
.40
30.0
0
89
.00
60
.00
Pol
and
2
6.20
1,1
99.2
0
270
.00
6
69.2
0
6
0.00
139
.20
60.
00
901.
35
60.
00
2
87.6
0 30
.00
2
64.6
0 30
.00
79.2
0
60.0
0
P
ortu
gal
6.50
1,1
79.5
0
270
.00
6
49.5
0
6
0.00
119
.50
60.
00
881.
65
60.
00
2
67.9
0 30
.00
2
44.9
0 30
.00
59.5
0
60.0
0
S
audi
Ara
bia
1
7.20
1,1
90.2
0
270
.00
6
60.2
0
6
0.00
130
.20
60.
00
892.
35
60.
00
2
78.6
0 30
.00
2
55.6
0 30
.00
70.2
0
60.0
0
S
pain
1
1.60
1,1
84.6
0
270
.00
6
54.6
0
6
0.00
124
.60
60.
00
886.
75
60.
00
2
73.0
0 30
.00
2
50.0
0 30
.00
64.6
0
60.0
0
S
ri La
nka
1
5.00
1,1
88.0
0
270
.00
6
58.0
0
6
0.00
128
.00
60.
00
890.
15
60.
00
2
76.4
0 30
.00
2
53.4
0 30
.00
68.0
0
60.0
0
S
udan
1
2.90
1,1
85.9
0
270
.00
6
55.9
0
6
0.00
125
.90
60.
00
888.
05
60.
00
2
74.3
0 30
.00
2
51.3
0 30
.00
65.9
0
60.0
0
U
rugu
ay
13.
50
1
,186
.50
2
70.0
0
656
.50
60.
00
1
26.5
0
6
0.00
88
8.65
6
0.00
274
.90
30.0
0
251
.90
30.0
0
66
.50
60
.00
Ven
ezue
la
18.
00
1
,191
.00
2
70.0
0
661
.00
60.
00
1
31.0
0
6
0.00
89
3.15
6
0.00
279
.40
30.0
0
256
.40
30.0
0
71
.00
60
.00
Oth
ers
Co
un
trie
s
20.
00
1
,193
.00
2
70.0
0
663
.00
60.
00
1
33.0
0
6
0.00
89
5.15
6
0.00
281
.40
30.0
0
258
.40
30.0
0
73
.00
60
.00
EM
GS
UP
M
53.0
060
.00
153.
0010
0.00
206.
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EMGS & UPM ACCOUNT DETAILS FOR FEE PAYMENT EMGS Account: Payment can be made through Maybank counter or online payment (CIMB Click/ Maybank2u). Name of Bank : Maybank Account No. : 514057662341 Account Name : Education Malaysia Global Services Recipient Reference : Matric No./ Passport No. Other Payment Details : Based on Type of Application (Renewal/Cancellation/Shortening/Special Pass etc.)UPM Account: Payment can be made through CIMB counter or online payment (CIMB Click/ Maybank2u). Name of Bank : CIMB Account No. : 8002155042 Account Name : UPM Collection Recipient Reference : Matric No./ Passport No. Other Payment Details : Processing Fee Note: *Please make sure you have made the payment before come to the counter. *Please make two copies of each receipt. *Please make sure the reference number of each receipt is clear.
PLEASE NUMBER ALL THE COPIES TO AVOID MISSING PAGES AND DELAY AT EMGS
For Example: If Your Passport has 60 pages, then on each page of your photocopy write the
page numbers per total pages, 1-2/60, 3-4/60 … 59-60/60
If Your Passport has 40 pages, then on each page of your photocopy write the
page numbers per total pages, 1-2/40, 3-4/40 … 39-40/40
1-2/60
59-60/60
29-30/60 19-20/60
5-6/60
3-4/60
59-60/60
5-6/60
ACCEPT
REJECT
4.5 CM
3.5 CM
Taken in front of a plain WHITE background only
Clear and sharp
Taken with a neutral facial expression, mouth closed
COLOUR background
-Smiling with teeth showing- Wrong size
Edited picture, toned/pattern background
Blur picture
Face & shoulder not facing forward
EX
AM
PLE
PA
SS
PO
RT
NU
MB
ER
NA
ME
EXAMPLE
PASSPORT NO
TYPE OF APPLICATION