New Registration Request

Are you registered with UNHCR?(Required)

NOTE:
This is strictly for new registration only. Any submission by UNHCR Malaysia document or appointment card holder will not be processed. If you are registered and wish to update family members, please use Family Registration Update form. Thank you.

Personal Details

Full name(Required)

Phone number(Required)

Secondary phone number (optional)

Email (optional)
Enter Email Confirm Email

Date of birth(Required)

Gender(Required)

Country of origin(Required)

Ethnicity(Required)

Others(Required)

Kindly provide ethnicity for others

Religion(Required)

Others(Required)

Kindly provide religion for others

Date of Arrival in Malaysia(Required)

Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family Members

Number of additional family members to be registered(Required)

Family member 1

1. Full name(Required)

1. Date of birth(Required)

1. Gender(Required)

1. Relationship(Required)

1. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 2

2. Full name(Required)

2. Date of birth(Required)

2. Gender(Required)

2. Relationship(Required)

2. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 3

3. Full name(Required)

3. Date of birth(Required)

3. Gender(Required)

3. Relationship(Required)

3. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 4

4. Full name(Required)

4. Date of birth(Required)

4. Gender(Required)

4. Relationship(Required)

4. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 5

5. Full name(Required)

5. Date of birth(Required)

5. Gender(Required)

5. Relationship(Required)

5. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 6

6. Full name(Required)

6. Date of birth(Required)

6. Gender(Required)

6. Relationship(Required)

6. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 7

7. Full name(Required)

7. Date of birth(Required)

7. Gender(Required)

7. Relationship(Required)

7. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 8

8. Full name(Required)

8. Date of birth(Required)

8. Gender(Required)

8. Relationship(Required)

8. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 9

9. Full name(Required)

9. Date of birth(Required)

9. Gender(Required)

9. Relationship(Required)

9. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Family member 10

10. Full name(Required)

10. Date of birth(Required)

10. Gender(Required)

10. Relationship(Required)

10. Take photo or upload a copy of passport, birth certificate or other identity document (optional)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

CAPTCHA