Borang Pendaftaran OMS ... ... Travel Date: ... to ... ... Slots: .../... STATUS: ... Full Name (as in IC / Passport)* IC / Passport Number* Phone Number* Email Address* Date of Birth* Mailing Address* Country Select Country State Select State City Select City Postcode Attachment IC / Passport (Image (.png, .jpeg, .jpg) or .pdf Only - below 5MB) Attachment Status (If no attachment provided) Document Unavailable Document Expired Dependent #1 + Add By submitting, I hereby agreed that my personal data will be kept by Nuzha Travel & Tours. Data collected will be used for legal documentation purpose and is protected under Personal Data Protection Act 2010. Submit
