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Email *
护照姓/Passport Family Name *
护照名/Given Name *
中文名/Chinese Name *
出生地点/Place of Birth *
(市/city,州/state,国/country - in English or Malay)
出生日期/Date of Birth *
MM
/
DD
/
YYYY
国籍/Nationality *
身份证号码/IC *
(xxxxxx-xx-xxxx)
婚否/Marital Status *
 健康状况/Health Status *
性别/Gender *
衣服尺码 *
饮食 *
 护照号码/Passport No. *
签发日期/Date of issue *
MM
/
DD
/
YYYY
签发地点/Place of issue *
护照有效期/Passport Validity *
MM
/
DD
/
YYYY
手机/Cell-phone(6012364****) *
永久居住地址/Permanent Residence Address *
(完整地址)
邮政编码/Postal code *
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