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How do I fill this out?
To fill out this form, begin by gathering all required documentation. Ensure that each section is completed with accurate and truthful information. Finally, review your entries for completeness before submission.

How to fill out the Foreign Workers Medical Examination Registration Form?
1
Collect all necessary documents such as the original passport and photocopies.
2
Fill in personal details and employer's information accurately.
3
Select the doctor as per your company's preference.
4
Review the form to ensure accuracy and completeness.
5
Submit the form along with payment by bank draft or CIMB Clicks.
Who needs the Foreign Workers Medical Examination Registration Form?
1
Employers hiring foreign workers need this form to register for medical screenings.
2
New foreign workers arriving in Malaysia must submit this form for medical clearance.
3
Human resource departments require this form for compliance with labor laws.
4
Agencies handling foreign worker placements use this form to expedite medical checks.
5
Healthcare providers may need this form for conducting required medical examinations.
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Use the provided tools to input your information in the required fields.
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What are the instructions for submitting this form?
To submit this form, you can send it via email to cs@fomema.com.my or fax it to 03-2782 8777. Physical copies can be submitted at FOMEMA's designated offices. Ensure all fields are complete and payments are included to avoid delays.
What are the important dates for this form in 2024 and 2025?
Important dates for this form in 2024 and 2025 include the need for medical examinations to be completed within 18 days of arrival for new workers and renewal cases. Employers should schedule these exams promptly upon registration. For timely processing, ensure all documentation is submitted within the specified periods.

What is the purpose of this form?
The purpose of this form is to facilitate the medical examination registration of foreign workers in Malaysia. It ensures that employers comply with the health regulations mandated by the Malaysian government. By collecting essential data, this form aids in processing the medical evaluations efficiently and safely.

Tell me about this form and its components and fields line-by-line.

- 1. Worker's Name: Name of the foreign worker as per passport.
- 2. Passport Number: Old and new passport numbers for identification.
- 3. Sector: The industry sector the worker will be involved in.
- 4. Employer's Name: Name of the employing company.
- 5. Doctor's Name: Name of the selected medical doctor.
What happens if I fail to submit this form?
If this form is not submitted, the foreign worker cannot proceed with the required medical examination. This can delay the worker's employment start date and affect the hiring process. Employers may face regulatory penalties for non-compliance.
- Regulatory Compliance: Failure to submit the form may lead to violations of labor laws.
- Employment Delays: Delays in processing can hinder the worker's employment start.
- Financial Penalties: Employers may incur fines or fees for non-compliance.
How do I know when to use this form?

- 1. New Worker Registration: Use this form to register new foreign workers for medical checks.
- 2. Renewal of Medical Examination: Employers must re-register for existing workers needing medical updates.
- 3. Compliance with Health Regulations: This form ensures adherence to local health regulations concerning foreign workers.
Frequently Asked Questions
What is this form used for?
This form is used to register foreign workers for their compulsory medical examinations in Malaysia.
Who should fill this form?
Employers hiring foreign workers and the workers themselves must complete this form.
How do I submit this form?
You can submit this form via email, fax, or in person at designated offices.
What payment is required?
A registration fee of RM190.00 for females and RM180.00 for males is required.
What documents should I attach?
You need to include the original passport, photocopies, and any required medical reports.
How long do I have to complete the medical exam?
The medical examination must be completed within 18 days of the worker's arrival.
Can I cancel my registration?
Yes, but a service fee of RM25.00 per worker applies.
How do I contact FOMEMA for questions?
You can contact FOMEMA at 03-2782 8777 or email cs@fomema.com.my.
Is it mandatory to use a specific doctor?
Employers can select their preferred doctor for the medical examination.
What happens if I don’t submit this form?
Failure to submit the form may delay the hiring process of the foreign worker.
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