This document is issued to Malaysian Citizens under circumstances such as in cases of lost passport abroad, persons who have been repatriated to Malaysia on government expenses and for Malaysian in case where Malaysia Passport cannot be issued within the stipulated period. Validity of this document is for single journey to countries mentioned therein for the period of 12 months only.

Condition of Application   Form F- Im.42-pin 1/97   Documentary evidence of Malaysian status   Two (2) photographs of applicant measuring 3.5 cm x 5.0 cm Validity   Valid for Single Journey to countries mentioned therein for the period of 12 months only Fees   RM50.00 per person Required Documents Applicant if Required Documents 18 years and above - Identification Card or Police / Army Identity Card       Below 18 years and those who are married - Identification Card or Police / Army Identity Card     Marriage Certificate       Below 18 years Father Alive Identification Card (if any)     Birth Certificate     Father's Identification Card       Below 18 years Father Deceased Identification Card (if any)     Birth Certificate     Father's Death Certificate     Mother's Identification Card       Below 18 years Parents Deceased Identification Card (if any)     Birth Certificate     Parents' Death Certificate     Statutory Declaration of Guardianship       Below 18 years Parents Separated (Father cannot be contacted) Identification Card (if any)   Birth Certificate   Mother's Identification Card     Court's Order     Statutory Declaration by mother       Below 18 years Adopted Child Identification Card (if any)     Identification Card of legal Guardian     Certificate of Adoption certifying child's citizenship status

Where to Apply   Application can be made in any Immigration Offices in Malaysia as stated in this website.   Application can also be submitted to the nearest Malaysian Representative Offices abroad.