MALAYSIA DIGITAL ARRIVAL CARD

IMMIGRATION DEPARTMENT OF MALAYSIA

Visitor Information

Name : NICHOLAS

Passport No. : E5524913 Nationality / : INDONESIA

Date of Birth : 19/07/2007 Sex : MALE

Email Address : rendysullivan@yahoo.com

Mobile No. : +62-82165829938 Date of Passport : 30/10/2028

Travelling Information

Date of Arrival : 15/04/2024 Mode of Travel : AIR

Date of : 18/04/2024 Last Port of Embarkation : INDONESIA

before Malaysia

Transportation No. : QZ106

Accommodation of Stay : HOTEL/MOTEL/REST HOUSE

Address (In Malaysia) : ANGSANA HOTEL

Postcode : 11050 City : PULAU PINANG

State : PULAU PINANG