Covid-19 Rapid Antigen test at Medijaya gateway@klia2
Kindly fill up the personal details of the individual who undergo the COVID-19 Test as below :
COVID-19 Test Profile
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Covid-19 Rapid Antigen Test @ RM60
Full Name (as per I/C or Passport)
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First Name
Last Name/Family Name
I/C Number :
(For Malaysian only)
Passport No. :
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Nationality :
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Gender :
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Female
Male
Date of Birth :
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Day
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Month
Year
MySejahtera ID :
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Handphone No :
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Country Code
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E-mail :
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Arrival Date
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Day
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Month
Year
Flight Number
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Address during your stay in Malaysia
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Remark (if any)
Personal Data Protection Act 2020 - Consent on the Personal Data Processing
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I hereby give my consent to Medijaya, its affiliate company and / or other third parties including Medijaya agents/contractors to collect and process my personal data in compliance with Personal Data Protection Act 2010. I understand that I am entitled to revoke my consent at any time by sending written notice to Medijaya.
Please verify that you are human
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Submit
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