Employment Pass Application Form Singapore.docx

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Employment Pass Application Form Singapore.docx

EmploymentPassApplicationFormSingapore

MOM(WPD)008/29032010

WorkPassDivision

18HavelockRoad

Singapore059764

Tel:

64385122

www.mom.gov.sg

mom_wpd@mom.gov.sg

EmploymentPass/SPassApplicationForm(Form8)

Thisformmayrequireyoutotake30minutestofillin.

Youwillneedthefollowinginformationtofillit:

•Theapplicant’sForeignIdentificationNumber(ifapplicable)

•Theapplicant’sWorkPermitNumber(ifapplicable)

•Theapplicant’sold/newMalaysianIdentityNumber(ifapplicable)

•Theapplicant’sMalaysianInternationalPassportNumber(applicabletoMalaysianonly)

•Theapplicant’seducationalqualificationandworkexperiencedetails

•Theapplicant’sspousepersonalparticulars(ifaccompanyingspouseisaSingaporecitizen/Permanent

Resident/EmploymentPass/SPassorWorkPermitholder)

•Theapplicant’sspouseeducationalqualification(ifapplicable)

•Theemployingcompany’sUniqueEntityNumber(UEN)

•Theemployingcompany’sRegistrationNo.(ACRA)

•IfyouwishtobeconsideredforanSPass,youwillneedtheemployingcompany’sCPFSubmission

Number(CSN)

Note:

•Anadministrativefeeof$10willbechargedforeveryEmployment/SPassapplicationsubmitted.Please

submityourapplicationandmakethefeepaymentoverthecountersatanySingPostpostoffice(MOM’s

appointedcollectingagent).Paymentcanbemadeviacash,CashcardorNETS.

ThereshallbenorefundoffeespaidfortheapplicationofEmploymentPass/SPass,unlessthefeewasnot

duefromtheemployer.AnysuchrequestforrefundshallbeatthediscretionoftheControllerofWork

Passes.

•MOMregularlyupdatesitsforms.Thecopythatyouhavedownloadedmorethan30daysagomaybe

outdated,andmaynotbeused.Toensurethatyouusethelatestversion,pleasedownloadthelatestcopy

athttp:

//www.mom.gov.sg

MOM(WPD)008/29032010-1-

FORM8

APPLICATIONFORANEMPLOYMENT/SPASS

INSTRUCTIONS:

1.For*,pleasetick(􀀹)whereappropriate.

2.Indicate“Notapplicable”or“N.A.”wherenecessary.Donotleaveanyblank.

3.Pleasenotethattheprocessingtimewilltakeabout5weeks.

Youmaycheckyourapplicationstatusonline

(http:

//www.mom.gov.sg>Services&Forms>EmploymentPass>ApplicationStatusCheck).

4.PleasesubmitthiscompletedapplicationformoverthecountersatanySingPostpostoffice.

Forofficialuseonly:

DateofApplication:

OfficerID:

Remarks:

PART1–EMPLOYINGCOMPANYDETAILS

1A:

EmployingCompanyGeneralInformation

NameofEmployingCompany/Society/Organization:

UniqueEntityNumber(UEN):

RegistrationNo.(ACRA):

Company’sEmail:

TelNumberFaxNumberMobileNumber

CorrespondenceAddress:

PostalCode:

Block/HouseNo:

FloorNo:

UnitNo:

StreetName:

______________________________________________________________________________________

BuildingName:

______________________________________________________________________________________

1B:

Financial&OtherInformation

Paid-upCapital(S$):

ValueofTurnoveroftheCompanyinthepast3years:

(1)____________:

S$____________

(2)____________:

S$____________(3)____________:

S$____________

(Year)(Year)(Year)

Local

(SingaporeCitizen/PR)

Foreign

TotalNumberofEmployees:

Affixarecent

passport-sized

photographhere

MOM(WPD)008/29032010-2-

PART2–APPLICATIONINFORMATION

2A:

PassDeclaration

IstheapplicantaSingaporeCitizenorSingaporePermanentResident?

*􀂅Yes􀂅No

PleaseprovidetheFIN/WorkPermit/SPassNo.iftheapplicanthadever

I.appliedfororworkedinSingaporeonanEmploymentPass/SPass/WorkPermit

II.studiedinSingaporeonaStudent’sPass

III.stayedinSingaporeonaDependant’sPass/LongTermVisitPass

ForeignIdentificationNo.(FIN):

XXXXXXXX

(FINNo.heldpreviously)

WorkPermitNo./SPassNo.:

(WPNo.heldpreviously)

2B:

PassDuration

DurationofPassAppliedfor:

(upto60months)

2C:

PassConsideration

(TheapplicantmayapplyforanSPassifhe/sheisnotapartner,soleproprietorordirectorofacompany)

Istheapplicantapartner,soleproprietorordirectorofanycompany?

􀂅Yes􀂅No

Doestheapplicantwishtobeconsideredfor(selectoneonly):

I.EmploymentPassandSPass􀂅

II.EmploymentPassonly􀂅

III.SPassOnly􀂅

IfyouwishtobeconsideredforanSPass(selectedOption(I)or(III)above),pleaseprovidethefollowingandensurethatIndustrialClassificationhas

beendonefortheCPFNo.stated.FordetailsonIndustrialClassification,pleaserefertohttp:

//www.mom.gov.sg>WorkPass>SPass>Application>

Howtoapply.

Company’sCPFSubmissionNo.:

--

(ConsistsofUEN+CPFPaymentCode.Totallengthofeither14or15digits/characters)

PART3–INFORMATIONONEMPLOYMENTAGENCY/THIRDPARTY

(ApplicableifapplicationforforeignemployeeismadethroughanEmploymentAgencyorthirdparty)

NameofEmploymentAgency/

Thirdparty:

___________________________________________________________________________

EmploymentAgencyLicence

Number:

________________________________________

TelephoneNumber:

EmploymentAgency/ThirdParty’sStamp

PART4–APPLICANT’SPERSONALINFORMATION

4A:

PersonalParticulars

Name:

XXXXXXX

(asontraveldocument,excluding

salutations,e.g.Mr,

Miss,Professor,Doctor)

Alias:

PleasenotethatforSPassholders,onlythefirst45charactersofyournamewillbeprintedontheSPasscard.

Sex:

*􀂅Female􀂅Male

PleasecompletePart6oftheapplicationformiftheapplicantis‘Married’.

MaritalStatus:

*􀂅Divorced􀂅Married􀂅Separated􀂅Single􀂅Widowed

DateofBirth:

(DD-MM-YYYY)#######

MOM(WPD)008/29032010-3-

4A:

PersonalParticulars(continue)

Nationality:

XXXXX

ForMalaysianonly:

MalaysianOldIdentityCard

Number:

MalaysianNewIdentityCard

Number:

MalaysianIdentityCard

Colour:

*􀂅Blue􀂅Pink

CountryofBirth:

XXX

State/ProvinceofBirth:

XXXX

CountryofOrigin:

XXXX

(countrywheretheperson

obtainedhisfirstcitizenshipby

birthorparentage)

StateofOrigin:

XXXX

Race:

*􀂅Caucasian􀂅Chinese􀂅Indian􀂅Malay􀂅Others

􀂅Buddhist􀂅ChristianReligion:

*􀂅FreeThinker􀂅Hindu􀂅Muslim

􀂅Others􀂅Sikh􀂅Taoist

Ifapplicant'sMaritalStatusis'Married',pleasefillinthedetailsbelow.

IsaccompanyingspouseaSingaporeCitizenorSingaporePermanentResident,

Employment/SPassholderorWorkPermitholder?

*􀂅Yes􀂅No

NameofSpouse:

Spouse’sFIN/NRICNo.:

SpouseIdentification

Type:

*􀂅FIN􀂅NRIC

Spouse’sDateofBirth:

(DD-MM-YYYY)--

4B:

TravelDocumentInformation

TravelDocumentType:

*􀂅HongKongSpecialAdminRegion

􀂅InternationalPassport

􀂅InternationalCertofIdentity

􀂅MacauSARTravelPermit

TravelDocumentNo:

XXXXX

DateofIssue:

(DD-MM-YYYY)XXXX

DateofExpiry:

(DD-MM-YYYY)XXXXX

4C:

ResidentialAddressinSingapore

(Pleasenotethatiftheresidentialaddressiscurrentlynotavailable,theemployingcompanyaddresswillbeusedforthisapplication.Youcan

updatetheMinistryofManpowersubsequentlyoncetheresidentialaddressisavailable.)

PostalCode:

XXXXBlock/HouseNo:

XXXFloorNo:

UnitNo:

StreetName:

]

__XXXXXX____________________________________

BuildingName:

______________________________________________________________________________

MOM(WPD)008/29032010-4-

PART5–APPLICANT’SEDUCATION/MEMBERSHIPDETAILS

(Pleasefillinthetwohighestqualificationsthatwereawardedtotheapplicant.Pleasenotethatqualificationisakeycriterionintheassessmentofthe

applicant’seligibilityforaworkpassandshouldbeprovidedwhereapplicable)

5A:

EducationDetails

(1)

AwardingBody/Institution/Universityawardedthequalification

Country:

Singapore

State/Province:

Name:

XXXXXXX

MainCampusorAffiliatingCollegeAttended:

(ApplicableonlyforIndiaqualification)

Qualifications#(e.g.forHonoursDegree,stateclass/division;Diploma):

XXXX

Faculty(e.g.Engineering):

Engineering

Specialisation(e.g.Civilengineering):

XXXXXX

ModeofStudy:

*􀂅DistanceLearning􀂅Full-Time􀂅Part-Time

PeriodofStudy:

(DD-MM-YYYY)From20-04-2009To18-02-2012

Hastheapplicantsubmittedsupportingdocumentsforthisqualificationbefore?

*􀂅Yes􀂅No

EducationDetails

(2)

AwardingBody/Institution/Universityawardedthequalification

Country:

Singapore

State/Province:

Name:

XXXXX

MainCampusorAffiliatingCollegeAttended:

(ApplicableonlyforIndiaqualification)

Qualifications#(e.g.forHonoursDegree,stateclass/division;Diploma):

XXX

Faculty(e.g.Engineering):

Engineering

Specialisation(e.g.Civilengineering):

XXXXX

ModeofStudy:

*􀂅DistanceLearning􀂅Full-Time􀂅Part-Time

PeriodofStudy:

(DD-MM-YYYY)From20-04-2007To31-03-2009

Hastheapplicantsubmittedsupportingdocumentsforthisqualificationbefore?

*􀂅Yes􀂅No

#PleasecompletetherelevantinformationbelowifthequalificationisSTPMorMICSS

SijilTinggiPersekolahanMalaysia(STPM):

No.ofPassesattained:

(InclusiveofGeneralStudies/PengajianAm)Principalpass-CSubsidiarypass-R

HastheapplicantattainedapassinGeneralStudies/PengajianAM?

*􀂅Yes􀂅No

MalaysiaIndependenceChineseSecondarySchool(MICSS)UnitedExaminationCertificate:

No.ofpassesattained:

(InclusiveofBahasaInggeris/Englishlanguage)

HastheapplicantattainedapassinBahasaInggeris/EnglishLanguage?

*􀂅Yes􀂅No

5B:

Societies/OrganisationsMembership

(Pastfiveyearstodate)

Society/OrganisationMembership

(1)

NameofSociety/Organization:

􀂅ChairmanPositionHeld:

*􀂅Member􀂅President􀂅Secretary

􀂅Treasurer􀂅ViceChairman􀂅VicePresident

Period:

(DD-MM-YYYY)From--To--

Society/OrganisationMembership

(2)

NameofSociety/Organization:

PositionHeld:

*􀂅Chairman􀂅Member􀂅President􀂅Secretary

􀂅Tr

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