ROYAL MALAYSIAN CUSTOMS DEPARTMENT

Full Name

First NameLast Name

Passport no. / Identification Card No.

Nationality

Date of Birth

Nationality

Flight / Ship(Voyage) / Vehicle No.

Last Place of Embarkment

Next Destination

Address in Malaysia

Length of Stay

Purpose of Visit

Status of Passenger

Are you carrying the following goods? (All absolute prohibited goods shall be seized and forfeited)

Rows	YES	NO
1. Liquors and alcoholic beverage
2. Tobacco and tobacco product including cigarette
3. Plant or plant product, traditional herbs, fruits, vegetable and seed
4. All animals (life or dead)
5. Animal product (fresh or frozen)
6. Goods under CITES *Convention on international Trade in Endangered Species of Wild Fauna and Flora(CITES)
7. All type of medicine
8. Soil or article with soil attached
9. Goods under Strategic Trade Act 2010
10. Dutiable goods/Others:

1. Do you have in your possession anycash, BNI or both exceeding USD10,000.00 equivalent? Note: "BNI" includes cheque, bill of exchange, promissory note, traveller's cheque, bearer bond, money order or postal order

2. Do you have in your possession Ringgit Malaysia exceeding USD10,000.00 equivalent?

1. Under Malaysian law, every person arriving in or leaving Malaysia must declare all dutiable or prohibited goods, and cash and/or BNI exceeding USD10,000 equivalent in his posession either on his person, in any baggage or in any vehicle to a Customs officer. Failure to make a declaration is an offence.

2. A Customs officer may conduct examination of any person, baggage or vehicle.

3. Goods exempted from payment of customs duty per person:

Wine, spirit, beer or malt liquor not exceeding 1 liter in all;
Wearing apparels not exceeding 3 pieces and footwear not exceeding one pair;
Food preparation to a total value not exceeding RM150.00;
Portable electrically or battery-operated appliance for personal care and hygiene not exceeding 1 unit each; and
All goods other than the above, excluding RM500.00 Land & Sea border and RM 1,000.00 Air border

4. Exemption of duties is subject to the conditions stated under the prevailing exemption order.

I have read the important Notice and certify that the information given is true, correct and complete.

ROYAL MALAYSIAN CUSTOMS DEPARTMENT

PART 1 : PERSONAL DETAILS

PART 2 : TRAVEL DETAILS

PART 3 : DECLARATION

PART 4 : DECLARATION OF CASH, BEARER NEGOTIATION INSTRUMENT OR BOTH

IMPORTANT NOTICE