Home Quarantine Application

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Disclaimer : You are required to read and comply with all the following conditions:
  1. Email address must be active to receive Transaction Authorization Code (TAC) to complete the submission;
  2. Application should be submitted between 4-10 days prior to arrival date;
  3. All attachments are made clear, and the information is readable;
  4. A maximum of 10 travellers are allowed per application. Please submit a new application if you have exceeded 10 travellers;
  5. Please ensure that all information provided is true and correct;
  6. All fields marked with * are mandatory and;
  7. Best experienced with Google Chrome browser. We recommend to disable Pop-up Blocker;

A. Applicant Information

B. Individual Entering Malaysia Information

Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate
Click to expand the form

IMPORTANT:

General:
- VACCINATION DOCUMENTS is mandatory to be uploaded if you have completed your vaccination.
- Criteria for Vaccine Documents:
  • Must be in English/Malay language
  • Has applicant details (Name/IC/Passport)
  • Name of vaccine
  • Date of 1st dose and 2nd dose

Note:

  1. Accepted file formats: PNG, JPEG, PDF
  2. Maximum file size limit for uploads are 250kb
  3. Travellers travelling from yellow fever endemic countries must provide yellow fever vaccination certificate

C. Travel Information

D. Quarantine Address (For Hospital Quarantine, please enter Hospital Address)

Home Quarantine Details
Home Quarantine - It is important to note that travellers/Person Under Surveillance (PUS) are required to state the number of people residing in the house prior to travellers/PUS arrival. Please note that travellers/PUS should not be part of the total number of people residing the house.

E. Declaration

I hereby declare that the information provided is true and correct. I understand that the decision on my application will be decided by the Ministry of Health. Any false information provided us an offence under Section 22(d) of the Prevention and Control of Infectious Diseases Act. 1988 (Act 342), and if convicted, is punishable under Section 24 of the same Act. If applicant is found to provide false information, approval will be automatically revoked.



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