Malaysian binational couples and families separated by travel bans
This form is made by the Love Is Not Tourism Malaysia group to learn more about the situations of couples and families who are currently unable to reunite. Please fill in this form if you're separated from your partner and/or children due to the current travel bans because this data is very helpful for our campaign.

We will use the date for statistical purposes and won't provide any personal details to government authorities or third parties without your consent.

Please also sign our petition at https://www.change.org/reunite-binational-malaysians-couples-and-families
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Name of partner currently in Malaysia *
Nationality partner in Malaysia *
Name of foreign partner, currently not in Malaysia *
Nationality of foreign partner, currently not in Malaysia *
Country of residency of the foreign partner, if not the same as nationality
Which situation is most applicable to your situation *
Are you married? *
Do you have children? *
Nationality and age of children (if applicable)
If not married, since when have you been in a relationship?
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If you're not married yet, but had your wedding planned (but cancelled) or have planned your wedding, what date is/was the wedding supposed to be?
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DD
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For the foreign partner, have you been to Malaysia before and when was the last time? *
What kind of visa does the foreign partner have for Malaysia? *
If you had a visa for Malaysia that expired, what kind  of visa and when did it expire?
Does your Malaysian partner have a visa for your country, and if so, what kind of visa or what was the last expired visa?
Are there any circumstances that make your situation extra difficult? (for example: pregnancy, physical or mental health problems, job loss or financial problems, care responsibilities for elderly/children, problems with paternity registration etc)
Do you have any other relevant information about your situation that you think we should know about?
Email address *
We plan to mainly use the information in this form for statistical purposes without revealing personal details. But if it is deemed useful for our cause, do you consent to more details being forwarded to the government or other relevant third parties? *
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