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Last name Kaai (Kai , Cai , Kaai ) , around the world, is a prevalent surname. The last name Kaai is characteristic of Cayman Islands, where it is a common surname, Malaysia, and British Virgin Islands (explore the name in all countries). Not in comparison with a country's population, it is the most numerous in China, Malaysia, and the United States. Much less frequently, Kaai is the forename as well as the last name.