Covid-19 Test at Medijaya (AirAsia)
Kindly fill up the personal details of the individual who undergo the COVID-19 Test as below :
Full Name (as per I/C or Passport)
*
First Name
Last Name/Family Name
I/C Number :
(For Malaysian only)
Passport No. :
*
Nationality :
*
Gender :
*
Female
Male
Date of Birth :
*
-
Day
-
Month
Year
MySejahtera ID :
*
gateway@klia2 : Appointment Date/Time 1
*
Handphone No :
*
-
Country Code
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E-mail :
*
Flight Number :
*
Your Preferred Swab Centre :
*
gateway@klia2 (Lot L2-130 & L2-130A, Level 2, Terminal KLIA2, KL International Airport, Jalan KLIA 2/1, 64000 KLIA Sepang, Selangor)
Petaling Jaya (103, Jalan SS25/2, Taman Bukit Emas, 47301, Petaling Jaya, Selangor)
Johor Bahru (No. 8, Jalan Harimau, Taman Abad, 80250 Johor Bahru, Johor)
COVID-19 Test :
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Covid-19 Rapid Antigen Test @ RM60
COVID-19 Tests :
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Covid-19 Rapid Antigen Test @ RM60
Covid-19 PCR Test @ RM120
gateway@klia2 : Appointment Date/Time
*
Petaling Jaya : Appointment Date/Time
*
Johor Bahru : Appointment Date/Time
*
Address during your stay in Malaysia :
*
Remark (if any)
Personal Data Protection Act 2020 - Consent on the Personal Data Processing
*
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 2020. I understand that I am entitled to revoke my consent at any time by sending written notice to Medijaya.
Submit
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