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1. Personal Information: Basic details including full name, passport/IC number, date of birth, nationality, and contact information
2. Current Address Details: Complete residential address in Malaysia and duration of stay at current address
3. Employment Information: Current employment status, employer details if applicable, and nature of work in Malaysia
4. Residency Status Declaration: Declaration of physical presence in Malaysia (182-day rule) and other residency qualification criteria
5. Tax Residency Status: Declaration of tax residency status and other jurisdictions where tax is paid
6. Declaration of Truth: Formal declaration that all information provided is true and accurate, with acknowledgment of legal consequences for false declarations
7. Signature and Date: Space for declarant's signature, date of signing, and witness details if required
1. Previous Residency History: Details of previous residency status in Malaysia or other countries - required for individuals with complex residency history
2. Dependent Information: Details of dependents residing with the declarant - required for family residency declarations
3. Business Interests: Information about business ownership or directorships in Malaysia - required for business visa holders or entrepreneurs
4. Foreign Income Declaration: Details of income sources from outside Malaysia - required for individuals with international income
5. Emergency Contact Information: Contact details for emergency situations - recommended for long-term residents
1. Schedule A - Required Supporting Documents: List of mandatory documents to be attached (passport copies, visa documents, etc.)
2. Schedule B - Proof of Residence: List of acceptable documents for proving residential address (utility bills, rental agreement, etc.)
3. Schedule C - Income Documentation: List of required income proof documents if applicable (employment contract, business registration, etc.)
4. Appendix 1 - Guidelines for Residency Status: Explanatory notes on Malaysian residency rules and qualifying criteria
5. Appendix 2 - Privacy Notice: Details of how personal information will be collected, used, and protected under PDPA 2010
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