Malaysia Digital Arrival Card (MDAC) Registration Personal Information * Name : * Passport No. : * Date of Birth : * Nationality / Citizenship : Please Choose AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRITISH NATIONAL OVERSEAS BRITISH OVERSEAS CITIZENS BRITISH PROTECTED PERSON BRITISH SUBJECT BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS ISLANDS COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA DEMOCRATIC PEOPLES REPUBLIC OF KOREA DEMOCRATIC REPUBLIC OF THE CONGO DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLAND (MALVINAS) FAROE ISLANDS FIJI FINLAND FINLAND, METROPOLITAN FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUIENA-BISSAU GUINEA GUYANA HAITI HEARD AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KUWAIT KYRGYZSTAN LAO PDR LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA,FEDERATED STATES OF MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEGARA-NEGARA SUMBER NEPAL NETHERLANDS NETHERLANDS ANTILLES NEUTRAL ZONE NEW CELEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIL NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINE PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN ISLAND POLAND PORTUGAL PUERTO RICO QATAR REFUGEE REFUGEE ARTICLE 1/1951 REP OF MOLDOVA REP. KOSOVO REPUBLIC OF KOREA REPUBLIC OF KOSOVO REPUBLIC OF MACEDONIA REPUBLIC OF SOMALILAND REPUBLIC OF SOUTH SUDAN REUNION ROMANIA ROMANIA RUSSIA RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SERBIA SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA & THE SOUTH SANDWICH IS SPAIN SRI LANKA STATELESS STATELESS PERSON ARTICLE 1/1954 SUDAN SURINAME SVALBARD AND JAN MAYEN ISLANDS SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND THE FORMER YUGOSLAV REP. OF MACEDONIA TIDAK DINYATAKAN OLEH KLN TIMOR LESTE TIMOR LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UK-DEPENDENT UKRAINE UN SPECIALIZED AGENCY UNHCR UNITED ARAB EMIRATES UNITED KINGDOM UNITED NATIONS ORGANIZATION UNITED STATES MINOR OUTLYING ISLANDS UNKNOWN UNSPECIFIED NATIONALITY URUGUAY USA UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS (BRITISH) VIRGIN ISLANDS (USA) WALLIS AND FUTURA ISLANDS WESTERN SAHARA YEMEN YUGOSLAVIA ZAIRE ZAMBIA ZIMBABWE ZIMBABWE * Sex : Please Choose MALE FEMALE * Date of Passport Expiry : * Email Address : * Confirm Email Address : * Country / Region Code : *Note: International Calling Code. ( eg: +65 ) * Confirm Country / Region Code : *Note: International Calling Code. ( eg: +65 ) * Mobile Number : * Confirm Mobile Number : Traveling Information ** Please note that your trip must be within 3 days (including the date of submission) * Date of Arrival : * Date of Departure : * Mode of Travel : Please Choose AIR LAND SEA * Last Port of Embarkation : Please Choose AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRITISH NATIONAL OVERSEAS BRITISH OVERSEAS CITIZENS BRITISH PROTECTED PERSON BRITISH SUBJECT BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS ISLANDS COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA DEMOCRATIC PEOPLES REPUBLIC OF KOREA DEMOCRATIC REPUBLIC OF THE CONGO DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLAND (MALVINAS) FAROE ISLANDS FIJI FINLAND FINLAND, METROPOLITAN FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUIENA-BISSAU GUINEA GUYANA HAITI HEARD AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KUWAIT KYRGYZSTAN LAO PDR LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA,FEDERATED STATES OF MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEGARA-NEGARA SUMBER NEPAL NETHERLANDS NETHERLANDS ANTILLES NEUTRAL ZONE NEW CELEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIL NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINE PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN ISLAND POLAND PORTUGAL PUERTO RICO QATAR REFUGEE REFUGEE ARTICLE 1/1951 REP OF MOLDOVA REP. KOSOVO REPUBLIC OF KOREA REPUBLIC OF KOSOVO REPUBLIC OF MACEDONIA REPUBLIC OF SOMALILAND REPUBLIC OF SOUTH SUDAN REUNION ROMANIA ROMANIA RUSSIA RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SERBIA SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA & THE SOUTH SANDWICH IS SPAIN SRI LANKA STATELESS STATELESS PERSON ARTICLE 1/1954 SUDAN SURINAME SVALBARD AND JAN MAYEN ISLANDS SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND THE FORMER YUGOSLAV REP. OF MACEDONIA TIDAK DINYATAKAN OLEH KLN TIMOR LESTE TIMOR LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UK-DEPENDENT UKRAINE UN SPECIALIZED AGENCY UNHCR UNITED ARAB EMIRATES UNITED KINGDOM UNITED NATIONS ORGANIZATION UNITED STATES MINOR OUTLYING ISLANDS UNKNOWN UNSPECIFIED NATIONALITY URUGUAY USA UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS (BRITISH) VIRGIN ISLANDS (USA) WALLIS AND FUTURA ISLANDS WESTERN SAHARA YEMEN YUGOSLAVIA ZAIRE ZAMBIA ZIMBABWE ZIMBABWE * Accommodation of Stay : Please Choose HOTEL/MOTEL/REST HOUSE RESIDENCE OF FRIENDS/RELATIVES OTHERS **Please key-in alphanumeric only * Address (In Malaysia) : * State : Please Choose JOHOR KEDAH KELANTAN MELAKA NEGERI SEMBILAN PAHANG PULAU PINANG PERAK PERLIS SELANGOR TERENGGANU SABAH SARAWAK WP KUALA LUMPUR WP LABUAN WP PUTRAJAYA * Postcode : * City : Please Choose