Malaysian Students Department for United Kingdom and Eire

Your International Passport is the property of the Malaysian Government. It REQUIRES YOU to register at the nearest Malaysian Embassy/Mission once you are out of Malaysia, failing which under Clause 25(2) of the Constitution of Malaysia, your citizenship may be withdrawn.

Personal Details

Full Name:
Ethnic Origin :
NRIC No.:
Passport No:		Expiry Date (Passport):
Gender:	Male Female
Address in the UK/Eire:
Telephone No. :		E-mail Address :

Course Details

Course:		Name of Institution:
Level of Study (e.g. A-level / Undergrad / Masters / PhD / Others please specify:		Starting Date (Month / Year):
		Expected Completion (Month / Year):

Sponsorship

Name of Sponsor: (JPA / PETRONAS / UTM / PNB / TNB / SELF-SPONSORED etc, please specify)
Program (SLAB, etc)
From (Month / Year):
until (Month / Year):

Next of Kin (in case of emergency)

Name & Address:
Relationship:		Telephone No.:

To the best of my knowledge, all above details are true and correct. The MSD may use your email address or addresses to disseminate information of interest to you.

  - Director: Prof. Madya Dr. Rosman Abdullah
  - Contact Info

  Office of the High Commission
  Malaysian Students Department for the UK and EIRE
  30-34, Queensborough Terrace
  London W2 3ST

  Tel: 020 7985 1252 (MSD)
  Tel: 020 7985 1262 (Malaysia Hall)
  Fax: 020 7221 5615

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Malaysian Students Department for the United Kingdom & Eire