HOME
Malaysia Visa Form
Personal Details
(Fill details same as passport, where applicable)
VISA TYPE
E-Visa
Entry Visa
2600 /- INR
2200 /- INR
Please Select A Visa Type
Surname:
( Enter your Surname exactly as shown in your passport)
First/Given Names*:
( Enter your First/Given Name(s) exactly as shown in your passport )
Date of Birth*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Country of Citizenship*
India
UAE
Canada
Australias
Gender
*
Male
Female
Passport Details
(Applicable for Indian Nationals)
Country of Passport
India
UAE
Canada
Australias
Passport Number*:
( Enter the passport number exactly as it appears)
Passport Date of Issue*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Passport Expiry Date*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
Passport size photo
See Guidelines
Please read all requirements
Photo size (35mm wide by 50mm high)
Witout border
Sharp and full coloured with white background
Taken within the last 6 months
Full face without headgear
The Facial image must be from chin to crown
Only studio taken photo will be accepted, Scanned photos are not acceptable
Front page of passport
Last page of passport
Travel Details
Intended Date of Entry*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2018
2019
2020
2021
Contact Details
Email Address*:
Confirm Email Address*:
Choose country code
Choose..
india (+91)
Austria (+43)
Bangladesh (+880)
Canada (+1)
Germany (+49)
Iraq (+964)
New Zealand (+64)
United Kingdom (+44)
Enter Mobile Number
Declaration of Applicant
I declare that the information I have given in this application is truthful, complete and correct.
I have read and understood the
Terms and Conditions.
About
FlyBirds Travels is a travel agency which provide cheap and attractive tour packages.
Popular Countries
Thailand
Dubai
Singapore
Sri Lanka
Malaysia
Popular Tags
Singapore Tour Packages
Malaysia Tour Packages
Dubai Tour Packages
Thailand Tour Packages
Sri Lanka Tour Packages
We Are Social