Applicant’s Name (Please fill in)

Address (Please fill in)

8 July 2013

Dear Sir,

RE: APPLICATION TO JOIN THE MALAYSIA MY SECOND HOME SCHEME

UNDER (FIXED DEPOSIT OPTION)

My name is ________ and I wish to apply for the Malaysia My Second Home Scheme as a
single applicant. I am __ years of age and I have a ______ passport.

I am currently working as a _________ in _________(country).

I have visited Malaysia on few occasions and would like to live and make Malaysia My Second
home. My main home is ______________.

As for finances, I confirm the status of liquid funds and evidence of regular monthly income as
presented by my agent Extreme Events in the statements from various bank and investment
accounts. My stay in Malaysia will be funded entirely by my ongoing business/employment as a
__________ in _____________________. I have no work in Malaysia and will simply be
continuing on assignments overseas under my present business for the same firm I am currently
running. My monthly income is approximately RM 65,000.00 per month.

Thank you for your time and attention and I look forward to hearing from you.

Yours Faithfully,

APLLICANT’S NAME