Letter of Consent Application Form

Letter of Consent Application Form

This form may take you 10 minutes to fill in.

You will need the following information to fill in the form:

• The Dependant’s Pass holder’s Foreign Identification Number

• The applicant’s educational information

• The name and address of employing company

• The employing company’s Unique Entity Number (UEN)

• The employing company’s Registration No. (ACRA) <if applicable>

Note:

• Provide a copy of each relevant supporting document stated in Annex A.

• The application will be voided if inaccurate written information or wrong/unclear supporting documents is submitted. You will need to resubmit a new application.

• Please send your application by post to Work Pass Division, Ministry of Manpower, 18 Havelock Road, Singapore 059764.

• MOM regularly updates its forms. The copy that you have downloaded more than 30 days ago may be outdated, and cannot be used. Ensure that you use the latest version by downloading the latest copy from MOM website at http://www.mom.gov.sg.

For official use only:

PART 1 – EMPLOYING COMPANY DETAILS

1A: Employing Company General Information

Name of Employing Company/Society/Organisation:

Unique Entity Number (UEN):

Registration Number (ACRA):

Company’s Email:

Correspondence Address

1B: Financial & Other Information

Paid-up Capital (S$):

Value of Turnover of the Company in the past 3 years (Please start with the most recent year)

PART 2 – APPLICATION INFORMATION

2A: Existing Dependant’s Pass Details

Dependant’s Foreign Identification Number (FIN):

2B: Pass Duration

Duration of LOC Applied for:

2C: Employment Agency Recruitment

Is the applicant recruited through an Employment Agency?*

Yes    No

Employment Agency Licence Number:

PART 3 – APPLICANT’S PERSONAL INFORMATION

Name (as on travel document, excluding salutations, e.g. Mr, Miss, Professor, Doctor):

Alias:

Date of Birth - dd/mm/yyyy:

PART 4 – APPLICANT’S EMPLOYMENT DETAILS

4A: Highest Qualification Attained*

Degree or Equivalent Education

Diploma or Equivalent Education

No Formal Education / Primary Education / Junior School Education

Post-graduate or Equivalent Education

Post-secondary / High School Education

Secondary Education / Senior School Education

4B: Working Experience of Applicant

4C: Salary Details

Salary Payable by*:

Both local and overseas    Local    Overseas

Fixed Monthly Salary:

Basic Monthly Salary:

4D: Address and Duties to be Performed

Occupation:

Is your business entity an Employment Agency/Headhunter firm or does it supply labour to other business entities in the course of conducting its business?*

Yes    No

If Yes, will the foreign employee be deployed to work for another employer so as to supplement that other employer’s manpower resources?

Yes    No

Address where applicant’s duties are to be performed

National Environment Agency Licence Type*: (For Food Establishment only)

$13 Licence    $60 Licence    $120 Licence

4E: Vetting Agency/Professional Body/Accreditation Agency Support

Has this application obtained support from the relevant vetting Agency(s)/Professional Body(s)/ Accreditation Agency(s)?*

Yes    No

If ‘Yes’, please select from the followings.

Please select one or more Vetting Agencies if the applicant has obtained support from any of the Vetting Agencies listed.

PART 5 – DECLARATION BY APPLICANT

I confirm that the information as set out in Parts 2, 3 and 4 is true and correct.

I further confirm that all other information in my previous application or applications remains true and correct. I understand that I may be prosecuted if I have provided any information, which is false in any material particular or is misleading by reason of the omission of any material particular.

PART 6 – DECLARATION BY EMPLOYER

We hereby sponsor this application and certify that it is made for the purpose as stated by the applicant. We confirm that the information provided in Parts 1 and 4 is true and correct. The statements made by the applicant in this application are to the best of our knowledge true.

WORK PASS DIVISION

ANNEX A

DID YOU REMEMBER?

1 set of original application form duly completed.

Application form signed by applicant.

Application form signed by an authorised officer from the sponsoring company, and stamped with the company's stamp or seal.

1 CLEAR COPY of the following supporting documents:

NEA Licence (For Food Establishment only).

Registration or Support Letters from the respective Vetting Agency/ Professional Body/ Accreditation Agency, if support from them has been declared in the application:

• Doctor – Singapore Medical Council

• Dentist – Singapore Dental Council

• Pharmacist – Singapore Pharmacy Council

• Nurse – Singapore Nursing Board

• TCM Practitioner – Traditional Chinese Medicine Practitioners Board

• Lawyer – Singapore Attorney-General’s Chambers

• Football Player/Coach – Sport Singapore

Support letter from International Enterprise (IE) Singapore (For application submitted by Representative’s Office).

Please do not submit original documents unless otherwise stated.

Note: Any person who falsely declares salary, academic qualifications, or submits forged documents in the work pass application shall be guilty of an offence under the Employment of Foreign Manpower Act (Cap.91A).