Student Pass Extension Form (Guide)

Guide to fill

  1. Your Full Name
  2. (Ignore)
  3. Female/Male
  4. Date of Birth
  5. Place/State of Birth (ex: Sabah, Kuala Lumpur, Selangor)
  6. Your I.C no.
  7. Your hometown address
  8. a) Circle Ordinary Passport
  9. b) Your Passport No.
  10. c) Your Passport expiry date
  11. d) Malaysia
  12. e) Malaysian
  13. a) Your student pass reference no. (search for “Ref. No”) at student pass detail
  14. b) Miri
  15. c) Your student pass date of issue
  16. The latest date you enter Miri
  17. Circle (how you enter Miri) “Kapal Terbang” or “Jalan Raya”
  18. Your student Pass expiry date
  19. 6 months /12 months /24 months /36 months (Depend on your duration of study and your passport validity)
  20. “Still studying in Curtin Malaysia”
  21. The date you submitted the form to the student pass office
  22. Your signature

Student Pass Reference Sample

Student Pass Extension Form Sample