Two British medical students have been stabbed to death after leaving a bar in the Borneo city where they were on a hospital placement.
The two men, named by Newcastle University as Neil Dalton and Aidan Brunger, both 22, died after they were attacked by a group of men in Kuching.
The friends were reportedly followed in a car and knifed as they returned to a backpacker lodge from the bar, where a row had earlier taken place.
Four men have been arrested following the murders in the Jalan Padungan district.
The friends were on a medical placement in Borneo's Sarawak stateThe fourth-year students were in the Malaysian part of the island in Sarawak province on attachment to a hospital in Kuching, the university's acting vice-chancellor Professor Tony Stevenson said.
Prof Stevenson said in a statement: "We were informed this morning of the very sad news that two of our fourth-year medical students working at a hospital in Kuching, Borneo, have been tragically killed.
"Neil Dalton and Aidan Brunger, both 22, were on a six-week work placement, along with five other medical students, to put the skills they had learnt during their time here at the university into practice.
"This has come as a huge shock to us all and our thoughts are with their families and friends at this very difficult time.
The city of Kuching in Borneo where the two men died. Pic: CoolCityCat"Two of our members of staff are flying out to Kuching as soon as possible and we are working closely with the British high commissioner to support the other students and to co-ordinate their return to the UK."
The students - both keen sportsmen - were due to finish their placement on Friday.
Mr Dalton was from Ambergate, Derbyshire, had achieved four A* grades in his A-levels and had been featured in the local paper when he took part in a sponsored bike ride for the Alzheimer's Society, the Derby Telegraph reported.
Mr Brunger, from Gillingham, took part in the 2013 Great North Run in Newcastle, raising money for Prostate Cancer UK.
Sarawak Deputy Police Commissioner Datuk Dr Chai Khin Chung said the arrests were made two hours after the 4.15am attack, the Malaysian State News Agency Bernama reported.
A knife was also recovered and a Perodua Viva car allegedly used in the attack has been seized.
Dr Chai told a news conference that two of the suspects have criminal records for drug abuse and armed robbery.
He also said a police forensic team found the first victim lying face down on the road with two stab wounds in the chest and two in the back.
The second victim was lying on a path, about two metres from the first victim, with a single stab wound to his chest.
The Borneo Post reported that they were attacked by a group of men as they made their way back to a backpacker lodge from the Travillion bar in the early hours. It followed a row in the bar over noise.
The students' bodies are at Sarawak General Hospital for post-mortem examinations.
An FCO spokesman said: "We are providing consular assistance to their families at this difficult time."
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