MM2H/07 (1)

APPLICATION FOR EXEMPTION OF TAX AND DUTY ON MOTORCAR UNDER THE

MALAYSIA MY SECOND HOME PROGRAMME (MM2H) A. TYPE OF APPLICATION [Please Mark X] Import [to import a motor car which belongs to the applicant from country of

residence/domicile] Purchase [to purchase a new motorcar made or assembled in Malaysia]

B. APPLICANT DETAILS

1. Applicant’s Name:________________________________________________________________________

2. Nationality : _____________________________________________Age: ______________________

3. Passport No. : ______________________________________Visa No.:__________________________

4. Country Of Residence/Domicile: ___________________________________________________________

5. Date Of Approval Letter From Immigration Department, Malaysia (that Applicant Is participant of the

MMSH): _________________________________________ For A Period Of:____________________________ years

6. Period of Visa approval as a MM2H Participant: From ____________________To__________________

7. Address In Malaysia: __________________________________________________________________

________________________________________________________________________________________

8. Mailing Address: _________________________________________________________________________

________________________________________________________________________________________

9. Tel. Number: _____________________________________Fax No :_______________________________

Mobile Phone:_____________________________________ E-Mail Address:________________________

10. Contact Person:___________________________________ (name) H/P No:________________________

C. THE MOTORCAR [IMPORT]

1. Motorcar

i. Brand/Model : _________________________________________________________________

ii. Chassis Number : _________________________________________________________________

iii. Engine Number : _________________________________________________________________

iv. Registration Date(as a owner): ________________________________________________________

v. Import From (Country): _____________________________________________________________

MM2H/07 (1)

2. Motorcar Registration Details [ Please mark X ]

The car will be registered under applicant’s name. The car will be registered under spouse’s name.

3. Spouse [ If registered under spouse’s name]

(i) Spouse’s name: _________________________________________________________ (ii) Nationality: _________________________________________________________

D. THE MOTORCAR [PURCHASE] 4. Motorcar

i. Brand/Model: _________________________________________________________ ii. Chasis Number: _________________________________________________________ iii. Engine Number: _________________________________________________________

5. Motorcar Registration [Please Mark X]

The car will be registered under applicant’s name. The car will be registered under spouse’s name.

6. Spouse [If registered under spouse’s name]

(i) Spouse’s name: _________________________________________________________ (ii) Nationality: _________________________________________________________

(please attach a certified copy of the international passport on the page of particulars; and the page with multiple entry visa as well as the word Malaysia My Second Home Programme)

E. APPLICANT’S DECLARATION

I__________________________________________hereby declare all the above information is true and correct.

Date: _______________________ _______________________________

Applicant’s Signature

F. AUTHORISATION

I ________________________________________________________ bearing passport number

________________________from_________________________________(country of origin) hereby

authorise____________________________________________________________(name of agent) holding

Identity Card no:**___________________________________________________________from the

________________________________________________________________________(name of company)

to transact and collect the final approval letter for the tax free car granted under the MM2H

program on my behalf.

Date:_________________________ ____________________________

**Please attach two (2) copies of Identity Card (Certified True Copy) Applicant’s Signature