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 :