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TRAVEL AGENCY SUBMISSION FORM Click here to download [ Note : Use Internet Explorer to download the PDF file



IVS Global INDIA VISA CENTRE IVS VMS SDN BHD

TRAVEL AGENCY SUBMISSION FORM

MALAYSIAN PASSPORT ONLY (for 10 passports & above)

NO. FULL NAME PASSPORT NO. EXPIRY DATE PREVIOUS VISA EXPIRY DATE LAST DEPARTED DATE FROM INDIA
           
           
           
           
           
           
           
           
           
           

*NOTE: "PREVIOUS VISA EXPIRY DATE" & 'LAST DEPARTED DATE FROM INDIA" COLUMNS ABOVE APPLICABLE FOR TRAVELLERS BEEN TO INDIA PREVIOUSLY.

*FOR TRAVEL AGENT'S USE:
         Agent's Signature :              *Agent's Company Stamp


1) NAME :                                                      
2) I.C. NO :                                                    
3) CONTACT NO :                                           
4) RECEIPT COLECTED BY :                            
*FOR IVS Global INDIA VISA CENTRE USE:
*RECEIVING OFFICER:                       
*TOKEN NUM :                                  *GIVE STAMP:
*DATE :                                            
*DATE :                                            
*TIME :                              AM/PM    
*TOTAL PPT:                                    
*PER PPT : RM                                  
* TOTAL = RM