GOVERNMENT OF MALAYSIA
Immigration Ordinance 1959
(F.M. 12 of 1969)
Immigration of Regulation, 1963
(P.L.N. 228/63)
PERSONAL BOND
(Regulation 18)
WHEREAS it is a condition of the issue of
to me
of
that there be furnished by me/on
security in the sum
behalf of the said
guarantee that I/the said
as a
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.
, NRIC No _____________ of
Now I,
do hereby bind myself that I/said
will
comply with the provisions imposed in respect of or instruction endorsed on such
. AND in case of I/the said
making default therein, I hereby bind myself to forfeit to the Government of Malaysia the
sum of
. Date this …….. day of
at
in the
State of
Signature of the above named
……………………………..
Signature and executed by the above named
presence.
Signature of Witness:
Full name of Witness:
Address of Witness:
FILE REF:
in my