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    Owner's Name *
    Proposed Date of Travel *
    Departure Airport *
    Destination Airport *
    Owner's Address in Malaysia *
    Select country/region
    Phone Number *
    Email *
    Location of pet if boarding *
    Select country/region
    Address at Destination *
    Select country/region
    Phone Number at Destination *
    Pet name *
    Species *
    Breed as per vaccine card *
    Date of Birth *
    Microchip Number *
    Microchip Insertion Date *
    Most Recent Rabies Vaccination Date *
    Rabies Vaccination Batch Number *
    Most Recent Annual Vaccination Date *
    Please Upload the Pet's Vaccine Card *
    Upload File
    Up to 20 MB
    Preferred Mode of Transportation *
    Do you have a flight crate? *
    Crate Measurement (L x W x H in CM) *
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