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rapid Travel Cards Rapid Penang Concession Card for the Disabled APPLICATION FORM
Name:
I/C No:
(new)* or (old)*
Gender:
Date Of Birth:
Address:
Phone:
Mobile:
Fax No:
Email:
Type of Disability:
In case of an emergency, please contact:
Contact No:
Relationship:
Fields marked with * are compulsory
Please ensure you have the following documents for your application: • 2 copies of your latest photograph (passport-sized) • 1 copy of your Registration Card from the Social Welfare Department (kad Jabatan Kebajikan Masyarakat) • 1 copy of a certification letter from a government doctor / the health ministry that is certified by the Social Welfare Department (JKM) • 1 copy of your I.C. / birth certificate
Please submit the above documents to our Penang Headquarters at Lorong Kulit or at the Weld Quay Terminal. Click here for our operating hours.
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