06. Report on Late Renewal or Loss of Document Step 1 of 5 - Report on Loss of Document 20% Reference numberIMPORTANT!Please confirm the information below is correct and accurate before clicking next. To start again and make changes, click here.Your UNHCR DetailsThis field is hidden when viewing the formAre you registered with UNHCR?Please choose an optionNo, I am not registeredNo, I have an appointment cardYes, with UNHCR in another countryYes, with UNHCR MalaysiaThis field is not editableAre you registered with UNHCR?This field is hidden when viewing the formWhat do you need help with?Please choose an optionUpdate phone numberUpdate email addressUpdate home addressAdd family memberAdd marriageUpdate divorceReport arrest and detentionReport on loss of documentReport deathComplaint on fraud and corruptionOpen a new bank accountIssue with my bank accountRequest for cash assistanceReturn to country of originThis field is not editableWhat do you need help with?This field is hidden when viewing the formUNHCR file numberThis field is not editableUNHCR file numberThis field is hidden when viewing the formUNHCR individual numberThis field is not editableUNHCR individual number NOTE:Please fill in this form in English or Malay only.I wish to report on Late Renewal Loss of Document Personal DetailsFull name(Required)Phone number(Required)Secondary phone number (optional)Email (optional) Enter Email Confirm Email IMPORTANT!Please do not use UNHCR email address. It should be your own email that is accessible to you. Document DetailsType of document(Required)Please choose an optionUNHCR cardCertified copy letter (CTC)Under consideration letter (UC) Review and ConsentPlease confirm that the information below is correct and accurate before clicking next. To go back and make changes, click the previous button.{all_fields}Consent(Required) I hereby declare that the information provided is true, accurate and giving my permission to UNHCR to use it for the purpose of this form. Submission ConfirmationThe submission confirmation reference number and all data entered in this form will appear on your next screen after successfully submitting this form. We recommend you to provide an email below to receive the full submitted data in a PDF file via email to help you keep the information safely.Note: Submission confirmation via SMS will be available here soon.Email (optional) Enter Email Confirm Email IMPORTANT!Please do not use UNHCR email address. It should be your own email that is accessible to you.PhoneThis field is for validation purposes and should be left unchanged. Δ
