IC/Passport Number
IC Color
- - B Blue C Chocolate L Others M Red
Name
Date of Birth
Religion
- NO INFO 1 ISLAM 2 KRISTIAN 3 BUDDHA 4 HINDU 5 SIKHISM 6 TAO 7 BAHAI 8 KONFUSIAN 9 JUDAISM 97 NO RELIGION 98 OTHERS
Race
0 OTHERS 100 MELAYU 101 BUGIS 102 BOYAN 103 BANJAR 104 JAWA 105 JAWI PEKAN 106 MINANGKABAU 200 CINA 201 CANTONESE 202 FOOCHOW 203 HAINANESE 204 HENGHUA 205 HOKCHIA 206 HOKCHIU 207 HOKKIEN 208 KHEK (HAKKA) 209 KWONGSAI 210 TEOCHEW 211 KONGFOO 212 HYLAM 213 KENGCHU 214 KOCHOU 300 INDIA 301 MALAYALI 302 PUNJABI (KECUALI SIKH) 303 SIKH 304 TAMIL 305 TELEGU 306 MALABARI 307 INDIA MUSLIM 308 TELEGU/TELUGU 309 ORISSA 310 ANGLO INDIAN 400 BANGLADESH 500 PAKISTANI 600 SRI LANKA 601 TAMIL SRI LANKA 602 MELAYU SRI LANKA 603 SINHALESE 604 CEYLONESE 700 INDONESIA 701 TIDUNG 800 BUMIPUTERA SABAH 801 BAJAU 802 DUSUN 803 KADAZAN 804 MURUT 805 SINO-NATIVE 806 SULUK 807 TIDUNG 901 BINADAN 902 BISAYA 903 BONGOL 904 BRUNEI 905 DUMPAS 906 IRRANUN 907 IDAHAN 908 KWIJAU 909 KEDAYAN 910 LINGKABAU 911 LUNDAYEH 912 LASAU 913 MELANAU 914 MANGKAAK 915 MATAGANG 916 MINOKOK 917 MELAYU SABAH 918 MOMOGUN 919 PAITAN 920 RAMANAU 921 RUNGUS 922 SUNGAI 923 SONSONGAN 924 SINULAHAN 925 TAMBANUO 926 TAGAL 927 TINAGAS 928 COCOS 929 KIMARAGANG 930 BOLONGAN 931 BUTON 932 LOTUD 933 BALABAK 934 KADAZAN-SINO 935 DUSUN-SINO 936 BAJAU-SINO 937 MURUT-SINO 938 BRUNEI-SINO 939 RUNGUS-SINO 940 BISAYA-SINO 941 IDAHAN-SINO 942 IRANUN-SINO 943 KEDAYAN-SINO 944 SUNGAI-SINO 945 LUNDAYEH-SINO 946 SULUK-SINO 947 TIDUNG-SINO 948 BOLONGAN-SINO 949 BALABAK-SINO 1000 BUMIPUTERA SARAWAK 1001 MELAYU SARAWAK 1002 MELANAU 1003 KEDAYAN 1004 IBAN/SEA DAYAK 1005 BIDAYUH/LAND DAYAK 1006 KAYAN 1007 KENYAH 1008 MURUT/LUN BAWANG 1009 KELABIT 1010 PUNAN 1011 PENAN 1012 TRING 1013 LOGAT 1014 BAH MALI 1015 NAROM 1016 BAKONG 1017 MIRIEK 1018 DALI 1019 SEGAN 1101 BISAYA 1102 BERAWAN 1103 BELOT 1104 BUKIT 1105 BALAU 1106 BATANG AI 1107 BATU ELAH 1108 BUKITAN 1109 BINTULU 1110 BADANG 1111 DUSUN 1112 JAGOI 1113 KIPUT 1114 KAJANG 1115 KAJAMAN 1116 KANOWIT 1117 LIRONG 1118 LEMANAK 1119 LAHANAN 1120 LUSUM/LUGUM 1121 MATU 1122 MALOH 1123 MELIKIN 1124 MELAING 1125 MURIK 1126 MENONDO 1127 NYAMOK 1128 SEBOB 1129 SEDUAN 1130 SEKAPAN 1131 SEGALANG 1132 SIAN 1133 SIPENG 1134 SARIBAS 1135 SEBUYAU 1136 SKRANG 1137 SABAN 1138 SELAKAN 1139 SELAKAU 1140 TAGAL 1141 TABUN 1142 TUTONG 1143 TANJONG 1144 TATAU 1145 TAUP 1146 UKIT 1147 UNKOP 1148 ULU AI 1149 TORAJA 1150 TIMOR 1151 MENADO 1152 MANURA 1153 BATAK 1154 PATHAN 1155 TONGANIS 1200 ORG ASLI SEMENANJUNG 1201 JAKUN 1202 NEGRITO 1203 SAKAI 1204 SEMAI 1205 SEMALAI 1206 TEMIAR 1207 SENOI 1208 PENAN 1221 CHE WONG 1222 JAHUT 1223 MAHMERI 1225 MAMOQ BERI 1230 ORANG ASLI LAIN 1232 ORANG KANAQ 1234 ORANG KUALA 1235 ORANG SEKTAR 1237 TEMUAN 1300 LAIN-LAIN ASIA 1301 ARAB 1302 BURMESE 1303 EURASIAN 1304 FIJIAN 1305 FILIPINO 1306 GURKHA 1307 JAPANESE 1308 KHMER (KEMBOJA) 1309 KOREAN 1310 MALTESE 1311 PORTUGESE 1312 SIAMESE (THAILAND) 1313 VIETNAMESE 1314 IRANIAN 1315 AFGHAN 1316 CAUCASIAN 1317 KYRGYZ 1318 UBIAN 1319 UZBEKISTAN 1320 AZERBAIJAN 1321 SIAM 1322 KAZAKHSTAN 1323 TAJIKISTAN 1324 PEOPLES REPUBLIC OF CHINA 1325 SINGAPURA 1400 BANGSA EROPAH 1401 BRITISH 1402 ALGERIA 1403 ANTIGUA-BARBUDA 1404 AUSTRALIA 1405 ANGOLA 1406 ARGENTINA 1407 ALBANIA 1408 AUSTRIA 1409 UNITED KINGDOM 1410 MIDDLE AFRICA 1411 SOUTH AFRICA 1412 BAHRAIN 1413 BAHAMAS 1414 BARBADOS 1415 BELIZE 1416 BOTSWANA 1418 BENIN 1419 BHUTAN 1420 BOLIVIA 1421 BRAZIL 1422 BURUNDI 1423 BULGARIA 1424 BELGIUM 1425 BELARUS 1427 BOSNIA-HERZEGOVINA 1428 CAMEROON 1429 CHAD 1430 CANADA 1431 CYPRUS 1432 CAPE VERDE 1433 CROTIA 1434 CHILE 1435 COLOMBIA 1436 COMOROS 1437 COSTA-RICA 1438 CUBA 1439 DJBOUTI 1440 DOMINICA 1441 DAHOMEY 1442 DENMARK 1443 EQUADOR 1444 EL SALVADOR 1445 EQUATORIAL GUINEA 1446 ETOPIA 1448 FRANCE 1449 FINLAND 1451 GABON 1452 GAMBIA 1453 GUINEA 1454 GUINEA-BISSAU 1455 GHANA 1456 GRENADA 1457 GUYANA 1458 GUATEMALA 1459 GREECE 1460 GERMANY 1461 HAITI 1462 HONDURAS 1463 HUNGARY 1464 HONG KONG 1466 IRAQ 1467 IVORY COAST 1468 ISRAEL 1469 IRELAND 1470 ITALY 1471 ICELAND 1472 JORDAN 1473 JAMAICA 1475 KUWAIT 1476 KENYA 1477 KIRIBATI 1479 KOREA(UTARA) 1480 KEMBOJA 1481 LEBANON 1482 LIBYA 1483 LESOTHO 1484 LAOS 1485 LIBERIA 1486 LUXEMBOURG 1487 MALI 1488 MALDIVES 1489 MAURITANIA 1490 MOROCCO 1491 MALAWI 1493 MADAGASCAR 1494 MAURITIUS 1495 MEXICO 1496 MOZAMBIQUE 1497 MONGOLIA 1498 MESIR 1499 MYANMAR 1500 LAIN-LAIN 1501 NAMIBIA 1502 NAURU 1503 NEW ZEALAND 1504 NIGERIA 1505 NEPAL 1506 NICARAGUA 1507 NETHERLAND 1508 NORWAY 1509 OMAN 1510 PAPUA NEW GUINEA 1511 PALESTIN 1512 PANAMA 1513 PARAGUAY 1514 PERU 1515 POLAND 1516 REPUBLIC OF INDIA 1517 QATAR 1518 ROMANIA 1519 RWANDA 1520 REPUBLIK CZECH 1521 REPUBLIK SLOVAKIA 1522 SENEGAL 1523 SIERRA LEONE 1524 SOMALIA 1525 SUDAN 1526 SYRIA 1527 ST.LUCIA 1528 ST.VINCENT 1529 SYCHELLES 1530 SOLOMON ISLAND 1531 SRI LANKA 1532 SWAZILAND 1533 SAMOA 1534 SAO TOME & PRINCIPE 1535 SURINAM 1536 SAMOA BARAT 1537 SWEDEN 1538 SPAIN 1539 SWITZERLAND 1540 TUNISIA 1541 TURKEY 1542 TANZANIA 1543 TONGA 1544 TRINIDAD & TOBAGO 1545 TUVALI 1547 TOGO 1548 TAIWAN 1549 UGANDA 1550 UNITED ARAB EMIRATES 1551 UPPER VOLTA 1552 URUGUAY 1553 RUSSIA 1554 UKRAINE 1555 UNITED STATES 1556 VANUATU 1557 VENEZUELA 1559 YEMEN 1560 YUGOSLAVIA 1561 MACEDONIA 1562 ZAIRE 1563 ZAMBIA 1564 ZIMBABWE 1565 SLOVENIA 1566 TURKMENISTAN 1567 ERITREA 1568 DUTCH 1901 AFRIKA 1904 SERANI 9998 INFORMATION NOT OBTAINED 9999 NO INFORMATION
Bumiputra Status (Malaysian Only)
0 NON-BUMI 1 BUMI
Citizenship Status
0 NON-CITIZEN 1 CITIZEN 2 PERMANENT RESIDENT
Citizenship
- NOT DECLARED 2 BANGLADESH 3 BRUNEI DARUSSALAM 4 PHILIPPINES 5 INDONESIA 6 AFGHANISTAN 7 SINGAPURA 8 THAILAND 9 INDIA 10 IRAQ 100 GREECE 101 GRENADA 102 GUATEMALA 103 GUINEA 104 GUINEA-BISSAU 105 GUYANA 106 GREENLAND 107 GUADELOUPE 108 GUAM 109 HAITI 11 JORDAN 110 HONDURAS 111 HONG KONG 112 HUNGARY 113 ISRAEL 114 ITALY 116 ICELAND 117 REPUBLIC OF IRELAND 118 JAMAICA 119 JAPAN 12 CAMEROON 120 KAZAKSTHAN 121 KENYA 122 KIRIBATI 123 KUWAIT 124 KOSOVO 125 KYRGHYZSTAN 128 LAOS 129 LEBANON 13 SYRIA 130 LESOTHO 131 LIBERIA 132 LIECHTENSTEIN 133 LUXEMBOURG 134 LATVIA 135 LITHUANIA 137 MALAWI 138 MADAGASCAR 139 MALDIVES 14 SAUDI ARABIA 140 MALI 141 MALTA 142 MAURITIUS 143 MEXICO 144 MONACO 145 MONGOLIA 146 MOROCCO 147 MOZAMBIQUE 148 MACEDONIA,THE FORMER YUGOSLAV REPUBLIC OF 149 MOLDOVA,REPUBLIC OF 15 CHAD 150 MAURITANIA 151 MACAU 152 MARSHALL ISLANDS 153 MARTINIQUE 154 MAYOTTE 155 NAURU 156 NEPAL 157 NETHERLANDS 158 NEW ZEALAND 159 NICARAGUA 16 PAKISTAN 160 NORTH KOREA 162 NORWAY 163 NAMIBIA 164 NIGER 165 NETHERLANDS ANTILLES 166 NEW CALEDONIA 167 NIUE 168 NORFOLK ISLAND 169 NORTHERN MARIANA ISLANDS 17 IRAN 170 OMAN 171 PANAMA 172 PAPUA NEW GUINEA 173 PARAGUAY 174 PERU 175 POLAND 176 PORTUGAL 177 PALAU 178 PITCAIRN 179 PUERTO RICO 18 MYANMAR 180 ROMANIA 181 RWANDA 182 RUSSIA 183 REUNION 185 SAINT KITTS-NEVIS 186 SAINT LUCIA 187 SAINT VINCENT 188 SAN MARINO 189 SAO TOME AND PRINCIPE 19 YEMEN 190 SENEGAL 191 SEYCHELLES 192 SIERRA LEONE 193 SOLOMON ISLANDS 194 SOUTH KOREA 195 SPAIN 196 SRI LANKA 197 SWEDEN 198 SWITZERLAND 199 SOMALIA 20 LIBYA 200 SOUTH AFRICA 202 SUDAN 203 SURINAM 204 SWAZILAND 205 SERBIA & MONTENEGRO 206 SLOVAKIA 207 SLOVENIA 208 SAINT HELENA 209 SAINT PIERRE AND MIQUELON 21 NIGERIA 210 SAMOA 211 SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS 212 SVALBARD AND JAN MAYEN ISLANDS 213 TAIWAN 214 TANZANIA, UNITED REPUBLIC OF 216 TOGO 217 TONGA 218 TRINIDAD AND TOBAGO 219 TUNISIA 22 PALESTIN 220 TURKEY 222 TAJIKISTAN 224 TIMUR LESTE 225 TOKELAU 226 TURKMENISTAN 227 TURKS AND CAICOS ISLANDS 228 TUVALU 229 UGANDA 23 QATAR 230 UKRAINE 231 UNITED ARAB EMIRATES 232 UNITED KINGDOM 233 UNITED STATES OF AMERICA 234 URUGUAY 235 UZBEKISTAN 236 UNITED STATES MINOR OUTLYING ISLANDS 237 VANUATU 239 VENEZUELA 24 ALBANIA 240 VIETNAM 241 VIRGIN ISLANDS (U.S) 242 VIRGIN ISLANDS (BRITISH) 244 WALLIS AND FUTUNA ISLANDS 245 WESTERN SAHARA 248 ZAMBIA 249 ZIMBABWE 25 ALGERIA 26 ANDORRA 27 ANGOLA,ANTIGUA AND BARBUDA 28 ARGENTINA 29 ARMENIA 30 AUSTRALIA 31 AUSTRIA 32 AZERBAIJAN 33 AALAND ISLANDS 34 ANGUILLA 35 ANTARTICA 36 ARUBA 37 BAHAMAS 38 BAHRAIN 39 BARBADOS 40 BELARUS 41 BELGIUM 42 BELIZE 43 BENIN 44 BERMUDA 45 BHUTAN 46 BOLIVIA 47 BOSNIA AND HERZEGOWINA 48 BOTSWANA 49 BRAZIL 50 BULGARIA 51 BURKINA FASO 52 BURUNDI 53 BOUVET ISLAND 54 BRITISH INDIAN OCEAN TERRITORY 55 CAMBODIA 56 CANADA 57 CAPE VERDE 58 CENTRAL AFRICA REPUBLIC 59 CHILE 60 CHINA 61 COLOMBIA 62 COMOROS 63 CONGO 64 COSTA RICA 65 CROATIA 66 CUBA 67 CYPRUS 68 CZECH REPUBLIC 70 CAYMAN ISLANDS 71 CHRISTMAS ISLAND 72 COCOS (KEELING) ISLANDS 73 COOK ISLANDS 74 COTE D'IVOIRE 75 DENMARK 76 DJIBOUTI 78 DOMINICAN REPUBLIC 79 DOMINICA 80 ECUADOR 81 EGYPT 82 EL SALVADOR 84 EQUATORIAL GUINEA 85 ESTONIA 86 ETHIOPIA 87 ERITREA 88 FIJI 89 FINLAND 90 FRANCE 91 FALKLAND ISLANDS (MALVINAS) 92 FAROE ISLANDS 93 FRENCH GUIANA 94 FRENCH POLYNESIA 95 FRENCH SOUTHERN TERRITORIES 96 GABON 97 GAMBIA 98 GERMANY 99 GHANA 999 OTHERS M MALAYSIA
Marital Status
1 SINGLE 2 MARRIED 3 DIVORCED
State of Birth
1 JOHOR 2 KEDAH 3 KELANTAN 4 MELAKA 5 NEGERI SEMBILAN 6 PAHANG 7 PULAU PINANG 8 PERAK 9 PERLIS 10 SELANGOR 11 TERENGGANU 12 SABAH 13 SARAWAK 14 W.P (KUALA LUMPUR) 15 W.P (LABUAN) 16 W.P (PUTRAJAYA) 17 SINGAPURA 18 BRUNEI 19 INDONESIA 20 THAILAND 21 OTHERS 99 NOT RELATED
Country of Birth
- NOT DECLARED 2 BANGLADESH 3 BRUNEI DARUSSALAM 4 PHILIPPINES 5 INDONESIA 6 AFGHANISTAN 7 SINGAPURA 8 THAILAND 9 INDIA 10 IRAQ 100 GREECE 101 GRENADA 102 GUATEMALA 103 GUINEA 104 GUINEA-BISSAU 105 GUYANA 106 GREENLAND 107 GUADELOUPE 108 GUAM 109 HAITI 11 JORDAN 110 HONDURAS 111 HONG KONG 112 HUNGARY 113 ISRAEL 114 ITALY 116 ICELAND 117 REPUBLIC OF IRELAND 118 JAMAICA 119 JAPAN 12 CAMEROON 120 KAZAKSTHAN 121 KENYA 122 KIRIBATI 123 KUWAIT 124 KOSOVO 125 KYRGHYZSTAN 128 LAOS 129 LEBANON 13 SYRIA 130 LESOTHO 131 LIBERIA 132 LIECHTENSTEIN 133 LUXEMBOURG 134 LATVIA 135 LITHUANIA 137 MALAWI 138 MADAGASCAR 139 MALDIVES 14 SAUDI ARABIA 140 MALI 141 MALTA 142 MAURITIUS 143 MEXICO 144 MONACO 145 MONGOLIA 146 MOROCCO 147 MOZAMBIQUE 148 MACEDONIA,THE FORMER YUGOSLAV REPUBLIC OF 149 MOLDOVA,REPUBLIC OF 15 CHAD 150 MAURITANIA 151 MACAU 152 MARSHALL ISLANDS 153 MARTINIQUE 154 MAYOTTE 155 NAURU 156 NEPAL 157 NETHERLANDS 158 NEW ZEALAND 159 NICARAGUA 16 PAKISTAN 160 NORTH KOREA 162 NORWAY 163 NAMIBIA 164 NIGER 165 NETHERLANDS ANTILLES 166 NEW CALEDONIA 167 NIUE 168 NORFOLK ISLAND 169 NORTHERN MARIANA ISLANDS 17 IRAN 170 OMAN 171 PANAMA 172 PAPUA NEW GUINEA 173 PARAGUAY 174 PERU 175 POLAND 176 PORTUGAL 177 PALAU 178 PITCAIRN 179 PUERTO RICO 18 MYANMAR 180 ROMANIA 181 RWANDA 182 RUSSIA 183 REUNION 185 SAINT KITTS-NEVIS 186 SAINT LUCIA 187 SAINT VINCENT 188 SAN MARINO 189 SAO TOME AND PRINCIPE 19 YEMEN 190 SENEGAL 191 SEYCHELLES 192 SIERRA LEONE 193 SOLOMON ISLANDS 194 SOUTH KOREA 195 SPAIN 196 SRI LANKA 197 SWEDEN 198 SWITZERLAND 199 SOMALIA 20 LIBYA 200 SOUTH AFRICA 202 SUDAN 203 SURINAM 204 SWAZILAND 205 SERBIA & MONTENEGRO 206 SLOVAKIA 207 SLOVENIA 208 SAINT HELENA 209 SAINT PIERRE AND MIQUELON 21 NIGERIA 210 SAMOA 211 SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS 212 SVALBARD AND JAN MAYEN ISLANDS 213 TAIWAN 214 TANZANIA, UNITED REPUBLIC OF 216 TOGO 217 TONGA 218 TRINIDAD AND TOBAGO 219 TUNISIA 22 PALESTIN 220 TURKEY 222 TAJIKISTAN 224 TIMUR LESTE 225 TOKELAU 226 TURKMENISTAN 227 TURKS AND CAICOS ISLANDS 228 TUVALU 229 UGANDA 23 QATAR 230 UKRAINE 231 UNITED ARAB EMIRATES 232 UNITED KINGDOM 233 UNITED STATES OF AMERICA 234 URUGUAY 235 UZBEKISTAN 236 UNITED STATES MINOR OUTLYING ISLANDS 237 VANUATU 239 VENEZUELA 24 ALBANIA 240 VIETNAM 241 VIRGIN ISLANDS (U.S) 242 VIRGIN ISLANDS (BRITISH) 244 WALLIS AND FUTUNA ISLANDS 245 WESTERN SAHARA 248 ZAMBIA 249 ZIMBABWE 25 ALGERIA 26 ANDORRA 27 ANGOLA,ANTIGUA AND BARBUDA 28 ARGENTINA 29 ARMENIA 30 AUSTRALIA 31 AUSTRIA 32 AZERBAIJAN 33 AALAND ISLANDS 34 ANGUILLA 35 ANTARTICA 36 ARUBA 37 BAHAMAS 38 BAHRAIN 39 BARBADOS 40 BELARUS 41 BELGIUM 42 BELIZE 43 BENIN 44 BERMUDA 45 BHUTAN 46 BOLIVIA 47 BOSNIA AND HERZEGOWINA 48 BOTSWANA 49 BRAZIL 50 BULGARIA 51 BURKINA FASO 52 BURUNDI 53 BOUVET ISLAND 54 BRITISH INDIAN OCEAN TERRITORY 55 CAMBODIA 56 CANADA 57 CAPE VERDE 58 CENTRAL AFRICA REPUBLIC 59 CHILE 60 CHINA 61 COLOMBIA 62 COMOROS 63 CONGO 64 COSTA RICA 65 CROATIA 66 CUBA 67 CYPRUS 68 CZECH REPUBLIC 70 CAYMAN ISLANDS 71 CHRISTMAS ISLAND 72 COCOS (KEELING) ISLANDS 73 COOK ISLANDS 74 COTE D'IVOIRE 75 DENMARK 76 DJIBOUTI 78 DOMINICAN REPUBLIC 79 DOMINICA 80 ECUADOR 81 EGYPT 82 EL SALVADOR 84 EQUATORIAL GUINEA 85 ESTONIA 86 ETHIOPIA 87 ERITREA 88 FIJI 89 FINLAND 90 FRANCE 91 FALKLAND ISLANDS (MALVINAS) 92 FAROE ISLANDS 93 FRENCH GUIANA 94 FRENCH POLYNESIA 95 FRENCH SOUTHERN TERRITORIES 96 GABON 97 GAMBIA 98 GERMANY 99 GHANA 999 OTHERS M MALAYSIA
Home Address Information
Address 1
Address 2
Address 3
City
Postcode
State
1 JOHOR 2 KEDAH 3 KELANTAN 4 MELAKA 5 NEGERI SEMBILAN 6 PAHANG 7 PULAU PINANG 8 PERAK 9 PERLIS 10 SELANGOR 11 TERENGGANU 12 SABAH 13 SARAWAK 14 W.P (KUALA LUMPUR) 15 W.P (LABUAN) 16 W.P (PUTRAJAYA) 17 SINGAPURA 18 BRUNEI 19 INDONESIA 20 THAILAND 21 OTHERS 99 NOT RELATED
Country
2 BANGLADESH 3 BRUNEI DARUSSALAM 4 PHILIPPINES 5 INDONESIA 6 AFGHANISTAN 7 SINGAPURA 8 THAILAND 9 INDIA 10 IRAQ 100 GREECE 101 GRENADA 102 GUATEMALA 103 GUINEA 104 GUINEA-BISSAU 105 GUYANA 106 GREENLAND 107 GUADELOUPE 108 GUAM 109 HAITI 11 JORDAN 110 HONDURAS 111 HONG KONG 112 HUNGARY 113 ISRAEL 114 ITALY 116 ICELAND 117 REPUBLIC OF IRELAND 118 JAMAICA 119 JAPAN 12 CAMEROON 120 KAZAKSTHAN 121 KENYA 122 KIRIBATI 123 KUWAIT 124 KOSOVO 125 KYRGHYZSTAN 128 LAOS 129 LEBANON 13 SYRIA 130 LESOTHO 131 LIBERIA 132 LIECHTENSTEIN 133 LUXEMBOURG 134 LATVIA 135 LITHUANIA 137 MALAWI 138 MADAGASCAR 139 MALDIVES 14 SAUDI ARABIA 140 MALI 141 MALTA 142 MAURITIUS 143 MEXICO 144 MONACO 145 MONGOLIA 146 MOROCCO 147 MOZAMBIQUE 148 MACEDONIA,THE FORMER YUGOSLAV REPUBLIC OF 149 MOLDOVA,REPUBLIC OF 15 CHAD 150 MAURITANIA 151 MACAU 152 MARSHALL ISLANDS 153 MARTINIQUE 154 MAYOTTE 155 NAURU 156 NEPAL 157 NETHERLANDS 158 NEW ZEALAND 159 NICARAGUA 16 PAKISTAN 160 NORTH KOREA 162 NORWAY 163 NAMIBIA 164 NIGER 165 NETHERLANDS ANTILLES 166 NEW CALEDONIA 167 NIUE 168 NORFOLK ISLAND 169 NORTHERN MARIANA ISLANDS 17 IRAN 170 OMAN 171 PANAMA 172 PAPUA NEW GUINEA 173 PARAGUAY 174 PERU 175 POLAND 176 PORTUGAL 177 PALAU 178 PITCAIRN 179 PUERTO RICO 18 MYANMAR 180 ROMANIA 181 RWANDA 182 RUSSIA 183 REUNION 185 SAINT KITTS-NEVIS 186 SAINT LUCIA 187 SAINT VINCENT 188 SAN MARINO 189 SAO TOME AND PRINCIPE 19 YEMEN 190 SENEGAL 191 SEYCHELLES 192 SIERRA LEONE 193 SOLOMON ISLANDS 194 SOUTH KOREA 195 SPAIN 196 SRI LANKA 197 SWEDEN 198 SWITZERLAND 199 SOMALIA 20 LIBYA 200 SOUTH AFRICA 202 SUDAN 203 SURINAM 204 SWAZILAND 205 SERBIA & MONTENEGRO 206 SLOVAKIA 207 SLOVENIA 208 SAINT HELENA 209 SAINT PIERRE AND MIQUELON 21 NIGERIA 210 SAMOA 211 SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS 212 SVALBARD AND JAN MAYEN ISLANDS 213 TAIWAN 214 TANZANIA, UNITED REPUBLIC OF 216 TOGO 217 TONGA 218 TRINIDAD AND TOBAGO 219 TUNISIA 22 PALESTIN 220 TURKEY 222 TAJIKISTAN 224 TIMUR LESTE 225 TOKELAU 226 TURKMENISTAN 227 TURKS AND CAICOS ISLANDS 228 TUVALU 229 UGANDA 23 QATAR 230 UKRAINE 231 UNITED ARAB EMIRATES 232 UNITED KINGDOM 233 UNITED STATES OF AMERICA 234 URUGUAY 235 UZBEKISTAN 236 UNITED STATES MINOR OUTLYING ISLANDS 237 VANUATU 239 VENEZUELA 24 ALBANIA 240 VIETNAM 241 VIRGIN ISLANDS (U.S) 242 VIRGIN ISLANDS (BRITISH) 244 WALLIS AND FUTUNA ISLANDS 245 WESTERN SAHARA 248 ZAMBIA 249 ZIMBABWE 25 ALGERIA 26 ANDORRA 27 ANGOLA,ANTIGUA AND BARBUDA 28 ARGENTINA 29 ARMENIA 30 AUSTRALIA 31 AUSTRIA 32 AZERBAIJAN 33 AALAND ISLANDS 34 ANGUILLA 35 ANTARTICA 36 ARUBA 37 BAHAMAS 38 BAHRAIN 39 BARBADOS 40 BELARUS 41 BELGIUM 42 BELIZE 43 BENIN 44 BERMUDA 45 BHUTAN 46 BOLIVIA 47 BOSNIA AND HERZEGOWINA 48 BOTSWANA 49 BRAZIL 50 BULGARIA 51 BURKINA FASO 52 BURUNDI 53 BOUVET ISLAND 54 BRITISH INDIAN OCEAN TERRITORY 55 CAMBODIA 56 CANADA 57 CAPE VERDE 58 CENTRAL AFRICA REPUBLIC 59 CHILE 60 CHINA 61 COLOMBIA 62 COMOROS 63 CONGO 64 COSTA RICA 65 CROATIA 66 CUBA 67 CYPRUS 68 CZECH REPUBLIC 70 CAYMAN ISLANDS 71 CHRISTMAS ISLAND 72 COCOS (KEELING) ISLANDS 73 COOK ISLANDS 74 COTE D'IVOIRE 75 DENMARK 76 DJIBOUTI 78 DOMINICAN REPUBLIC 79 DOMINICA 80 ECUADOR 81 EGYPT 82 EL SALVADOR 84 EQUATORIAL GUINEA 85 ESTONIA 86 ETHIOPIA 87 ERITREA 88 FIJI 89 FINLAND 90 FRANCE 91 FALKLAND ISLANDS (MALVINAS) 92 FAROE ISLANDS 93 FRENCH GUIANA 94 FRENCH POLYNESIA 95 FRENCH SOUTHERN TERRITORIES 96 GABON 97 GAMBIA 98 GERMANY 99 GHANA 999 OTHERS M MALAYSIA
Contact Information
Contact Number 1
Contact Number 2
Email Address
Disability Information
Type of Disability
- NO DISABILITY B VISUALLY IMPAIRED (BLIND) C PHYSICALLY IMPAIRED (OTHER) D HEARING IMPAIRED (DEAF USING A DEAF USING A DEVICE) E VISUALLY IMPAIRED (BLIND IN ONE EYE) G SPEECHLY IMPAIRED (STUTTERING) J PHYSICALLY IMPAIRED (DWARF) K PHYSICALLY IMPAIRED (FOOT) L PHYSICALLY IMPAIRED (CRIMINAL) M LEARNING DISABILITY N SPEECHLY IMPAIRED (HORROR) P HEARING IMPAIRED (DEAF) R VISUALLY IMPAIRED (CANNOT USE SPECIAL LENSES) S SPEECHLY IMPAIRED (MUME) T PHYSICALLY IMPAIRED (HAND) W VISUAL DISABILITY (COLOR BLINDNESS) Z OTHER DISABILITIES
Explanation of Disability
Disability (OKU) Status
0 NOT APPLICABLE 1 BILATERAL HEARING LOSS 2 SINGLE SIDED DEAFNESS (SSD) 3 PERMANENT HEARING DISABILITY/ RELATED SYNDROMES 4 LIMITED TO BOTH EYES 5 BLINDNESS IN BOTH EYES 6 BLINDNESS IN ONE EYE 7 OTHER PERMANENT VISUAL IMPAIRMENT 8 SPEECH AND LANGUAGE DISORDERS / COMPLEX COMMUNICATION DISORDERS 9 MOTOR SPEECH DISORDERS 10 VOICE DISORDERS 11 SPEECH FLUENCY DISORDERS / STUPIDITY 12 RESONANCE DISORDERS 13 LIMB DEFECTS 14 SPINAL CORD INJURY 15 STROKE 16 DWARFISH 17 TRAUMATIC BRAIN INJURY 18 CEREBRAL PALSY 19 GDD 20 DOWN SYNDROME 21 ADHD 22 AUTISM 23 INTELLECTUALS 24 SPECIFIC LD 25 ORGANIC MENTAL DISORDERS 26 SCHIZOPHRENIA, SCHIZOTYPAL AND DELUSIONAL DISORDERS 27 MOOD DISORDERS 28 SEVERE ANXIETY DISORDER 99 OTHERS
Disability (OKU) Card Number
Blood Group
- Not Sure A A RH Positive B B RH Positive C O RH Positive D AB RH Positive E A RH Negative F B RH Negative G O RH Negative H AB RH Negative I O RH
Education Information
English Proficiency
0 - NOT YET TAKEN 1 - WAITING FOR RESULT 2 - TAKEN
English Category
- NONE 1 IELTS 2 TOEFL IBT 3 ACADEMIC ENGLISH 4 ELIPS 5 IELP 6 MUET 7 TOEFL PBT 8 TOEFL CBT 9 MUET INTERNATIONAL 10 LINGUASKILL 98 KELULUSAN KHAS 99 OTHERS
Score
Date of Issued
MUET Registration No.
Document Submission
1) IC (front and back sides)/Passport data page
2) Birth Certificate (Malaysian Only)
3) Academic Certificate : SPM (Malaysian Only)
4) Academic Certificate with Transcript : Diploma/Matriculation/Foundation/STPM/A-Level/Others
5) MUET/TOEFL/IELTS/English Proficiency Test Result
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