perkhidmatan utama putra … pengurusan pelajar dan staf antarabangsa putra international centre...
TRANSCRIPT
PLEASE USE CAPITAL LETTERS
Name :
Passport No : Expiry Date of passport:
d
d
/
m
m / y y y y
NO. SEMAKAN : 02 NO. ISU : 02 TARIKH KUATKUASA : 25/05/2017 1 drp. 1
PERKHIDMATAN UTAMA
PUTRA INTERNATIONAL (PUSAT ANTARABANGSA)
UNIVERSITI PUTRA MALAYSIA 43400 UPM Serdang, Selangor, Malaysia
Tel: 603-8946 6048 / 6198 E-mail: [email protected]
Kod Dokumen: SOK/PIC/SS01 CHECKLIST FOR VAL APPLICATION
No. Required Documents (Please arrange the document according to the sequence given)
No of Copy
Tick (If Complete)
Office Use Applicant Help
Desk Counter
Staff 1 Checklist for VAL Application (SOK/PIC/SS01) 1 2 Visa & Pass Application Form (UPM/PIC/BR01/APPLICATION FORM) 1 3 Letter of Eligibility (LOE) for Iranian student 1 4 COPY of Offer letter 1 5 COPY of Deferment letter (if deferred) 1 6 COPY of Academic certificate 1 7 COPY of Academic transcript 1 8 COPY of Medical Report 1 9 Photo (White Background) Size 3.5 cm x 4.5 cm 2 10 A4 sized COPY of passport (All pages of the passport)
*Please write number on each of the pages *Minimum passport validity must be 18 months
2
11 Proof of VAL Application Payment to EMGS (ORIGINAL receipt) 1
Note
1. Documents which DO NOT follow the specifications are deemed incomplete and will be rejected.
2. Pease DO NOT staple your documents and photo. 3. Use a paper clip instead. 4. DO NOT make any travel plans until all application process have been completed.
(Any request to expedite application processing will not be entertained by PIC)
Checked by
Date
SOKONGANPENGURUSANPELAJARDANSTAFANTARABANGSA
PUTRAINTERNATIONALCENTRE
(PUSATANTARABANGSA)KodDokumen:SOK/INT/BR01/VPVISA&PASSAPPLICATIONFORM
NO.SEMAKAN : 00 NO.ISU : 01 TARIKHKUATKUASA : 24/3/2017 1drp.2
TYPEOFAPPLICATION
PLEASETICK(/)NEWSTUDENT STUDENTRENEWAL
SPECIALPASS INVITATION/RELEASE/CLAIM
LETTER
VAL DEPENDENTRENEWAL TRANSFERSTICKER CANCELLATION/SHORTENING
NEWDEPENDENT IKHTISAS/RESEARCHATTACHMENT
STAFF STAFFDEPENDENT
STUDENT’S/STAFF’SPARTICULARS:1.NAME
:
_______________________________________________________________________
2.MATRIC/STAFFNO
:
_________________
GENDER
:
Male
Female
3.NATIONALITY4.PROGRAMME(ForStudentOnly)
:
BachelorMasterPhD
5.PASSPORTNO.
:
________________________________
7.PASSEXPIRYDATE
:
(DD/MM/YYYY)(DD/MM/YYYY)
8.MOBILENO.
:
________________________
9.EMAIL
:
________________________
10.NEARESTMALAYSIAEMBASSY:____________________________________________________(ForVALapplicationonly)
6.EXPIRYDATE:
: _____________________
NO.SEMAKAN : 00 NO.ISU : 01 TARIKHKUATKUASA : 24/3/2017 2drp.2
DEPENDENT’SPARTICULARS:
NAME PASSPORTNO.PASSPORT
EXPIRYDATESOCIALPASSEXPIRYDATE RELATION
IcertifythatallinformationgiveninthisapplicationistrueandIhavealsosubmittedapplicationformeormydependents:student/workingpass/visitpass(New/Renewal/SpecialPass/Shortening/Endorsement)
..……..……………………………... ………..……………………….. Student/Staff’sSignature Date……………………………………………………………………………………………………………………………………………………………………………………FOROFFICEUSEONLYPAYMENTCHECKLIST:(Note:PleasepresenttheoriginalreceiptfromtheBursarCounterandthecopyoftheReceiptuponsubmissionofyourapplicationtotheCounterofVisa&Pass.)
TYPEOFPAYMENT Student/Staff
Dependent1
Dependent2
Dependent3
Dependent4
Dependent5
Dependent6
NEWAPPLICATION:……………………………………
RENEWAL
SPECIALPASS
TRANSFERSTICKER
SHORTENING/CANCELLATION
INVITATIONLETTER/RELEASELETTER/CLAIMLETTER
LATESUBMISSION
OTHERS:……………………………………
TOTALAMOUNT(RM):
………………………………………… ……………………………………Officer’sSignatureandStamp DatePUTRAINTERNATIONALCENTRE
The LOE Application Form-Scientific Counsellor of Iran Embassy in East Asia
*fior E*ch Student. A Sep*r*t* S$rm &.{ust l3e $iubmitte*** l'lvo Conv of this furnr ruusf be sullmitted *ilh a conv of Offer letter alous u'ithcop3, of applic:r{*** {all el**unlezz*s*' {c}py of passp*rti
Name of The University: Name of the Faculty:
Full Name of the Candidate:
Passport Number:
Full Address and Telephone Number (fixed line) of the candidate in lran: .,.,
.,i "
...:., .:3
For Emergency Call in Iran: ;
Name: Direct Phone: ,'.:' .r1"
Candidate Phone (Iran or Malaysia): Candidate Email: '*{''' :ttll''!'
Level of th e Pro gram Applied : (Foundation/B achelor/Nl_aster/PhD, etc)
-i.
Name of the Program Applied with its Major:
The proposed Supervisor/Advisor:Name:Phone:
-,1r... ttn
i. Email
Registration Fee (Getting Offer+qtttr): The Visa Process Fees:
International Students Adrain;Fs65 ; Tuition Fees of the Program:
FIow the UniversiQ, gg?the Student:
Direct Applica.llly{Student ( ) Through the Student Agents ( )
If Agent, Nah-b6f the Aqent: Phone Number of Agent:'ii: :
Any,tgi6 of Grant/Scholarship/financial assistance provided for the Student (pleaseerpk{ih):
PLEASE NUMBER ALL THE COPIES TO AVOID MISSING PAGES AND DELAY AT EMGS
For Example: If Your Passport has 60 pages, then on each page of your photocopy write the
page numbers per total pages, 1-2/60, 3-4/60 … 59-60/60
If Your Passport has 40 pages, then on each page of your photocopy write the
page numbers per total pages, 1-2/40, 3-4/40 … 39-40/40
1-2/60
59-60/60
29-30/60 19-20/60
5-6/60
3-4/60
59-60/60
5-6/60
ACCEPT
REJECT
4.5 CM
3.5 CM
Taken in front of a plain WHITE background only
Clear and sharp
Taken with a neutral facial expression, mouth closed
COLOUR background
-Smiling with teeth showing- Wrong size
Edited picture, toned/pattern background
Blur picture
Face & shoulder not facing forward