09. Kepulangan Secara Sukarela Step 1 of 5 - Voluntary Return 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.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. NOTE:Please fill in this form in English or Malay only.Return DetailsCountry of origin(Required)Please choose an optionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsWhich city in the country of origin do you wish to return to?(Required)Number of persons returning, including you(Required)Please choose an option12345678910 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.EmailThis field is for validation purposes and should be left unchanged. Δ
