Certificate of residence (SKTT) application

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SKTT Application Form F.1-08/62

Full name *

Gender * Male Female

Full address/Google location link *

Postcode *

Phone number *

Email Address *

Place of Birth *

Date of birth *

Nationlity *

Marital Status * Single Married Divorced

Blood Type *

Religion *

Father's Full Name *

Mother's Full Name *

Occupation * Trading/Industry Forestry/Plantation Mining/Energy Public Work Agriculture/Land/Fishery Religion Bank/Finance Health/Society Tourism Transportation/Comunication Culture/Education

Other

Passport Number *

Passport Date Issued *

Passport Expiry Date *

KITAS Number *

KITAS Issued Date *

KITAS Expiry Date *

Number of Kids (Under 17 Y.O)

Please Fill Out The Following for The Kids Who Have KITAS

First kid data

Second kid data

Third kid data

Fourth kids data

Fifth kids data

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