The Passport Self Declaration Form is a crucial document in the Malaysian passport application and renewal process, mandated by the Immigration Department of Malaysia. This form is required whenever an individual applies for a new passport, requests a renewal, or needs to replace a lost or damaged passport. It contains declarations regarding the applicant's personal information, citizenship status, travel history, and security-related matters. The document is designed to comply with Malaysian legislation, particularly the Passports Act 1966 and Immigration Act 1959/63, and serves as a legal statement of truth. It may be used by Malaysian citizens both within Malaysia and at overseas missions, and requires proper witnessing by authorized officials. The form helps authorities verify the applicant's eligibility for a passport and maintain accurate records for immigration and security purposes.
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1. Personal Information: Declarant's full name, IC number, passport number (if renewal), date and place of birth, current address, and contact details
2. Citizenship Declaration: Declaration of Malaysian citizenship status and means of acquisition (birth, naturalization, etc.)
3. Identity Verification: Confirmation of identity and authenticity of supporting documents provided
4. Travel History Declaration: Declaration of recent travel history and any immigration issues
5. Criminal Record Declaration: Statement regarding any criminal convictions or pending legal proceedings
6. Security Declaration: Declarations regarding national security matters and restricted travel
7. Document Authenticity: Declaration that all submitted documents are genuine and unaltered
8. Declaration of Truth: Final statement confirming all information provided is true and accurate
9. Signature and Date: Space for declarant's signature, date, and witness details
1. Parental Consent: Required for applicants under 18 years of age, including parent/guardian details and consent
2. Emergency Contact: Optional section for providing emergency contact details
3. Dual Citizenship Declaration: Required for those who have held or currently hold citizenship of another country
4. Previous Passport Declaration: Required for those who have had lost, damaged, or stolen passports
5. Special Circumstances: For declaring any special circumstances affecting passport application (e.g., urgent travel needs, restricted mobility)
6. Professional Status: Required for government servants or those in sensitive positions
1. Document Checklist: List of required supporting documents to be submitted with the declaration form
2. Fee Schedule: Details of applicable passport fees and payment methods
3. Guidance Notes: Instructions on completing the form and submitting supporting documents
4. Privacy Notice: Information about how personal data will be collected, used, and protected
5. Statutory Declarations Act Extract: Relevant excerpts from the Statutory Declarations Act regarding false declarations
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