Borang Personal Bond

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GOVERNMENT OF MALAYSIA Immigration Ordinance 1959 (FM 12 of 1969) (Immigration of Regulation, 1963) (P.LN. 228/83) PERSONAL BOND, Regulation 18 WHEREAS it a condition of the issue of sons PASS tO me/the said. snnnnnnnennnnnnn Oh ies ..that there furnished by me/on behalf of the said. ninnninninnnnnnnnnnennnnnneS@ourity in the sum dollars as a guarantee that I/the said . . 7 inne -will comply with the provisions of the Ordinance and of any Regulations made there under and with any conditions imposed in respect of or instructions endorsed on such pass. NOW Tos NRIC NO = oF... do hereby bind myself that 1/ Sad ann tater ece ceca snessnencll Comply with the provisions imposed in respect of instruction endorsed on such : Pass. AND in case of my/the said... taking deat thesn, Thereby bind mse to fret the Goverment of Malaysia to sum of, ssnsnenesennsesslars. Date this. ay of 20 at. .jn the State of ‘Signature of the abovenamed Signed and executed by the abovenamed nnninnnnnnnnrinnnsnnnnned MY PRESENCE Signature of Witness Full name Witness ‘Address of Witness FILE REF :

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