Employment Pass Intructions

INSTRUCTIONS

This form may require you to take 30 minutes to fill in.

You will need the following information to fill it:

Foreign Identification number (if applicable)
Work Permit number (if applicable)
Old/new Malaysian Identity number (if applicable)
Malaysian International Passport number (applicable to Malaysian only)
Educational qualification and work experience details

The employment company’s:

- Unique Entity Number (UEN)

Registration number (ACRA) <if applicable>

Note

You must submit:

- One copy of each relevant supporting documents stated in Annex A.

Make sure the application form is completed

Terms & Conditions:

EBOS SG Pte Ltd will only process the application once full payment has been made

You must pay the administrative fee of $950 for each Employment Pass application submitted, which includes the application fee. Payment can be made by cash, bank transfer or PayNow

Please note that the processing of application will take at least (???????)

EBOS SG Pte Ltd will contact you using the contact information taken under (6a) General Information section for any missing required information, documents and payment requests

All information and documents submitted will be automatically deleted from our system after 90 days upon unsuccessful payment after submission

ONLY SUBMIT (1) ONE APPLICATION PER CANDIDATE

*There shall be no refund of fees paid for this application*

Employment Pass Application Form Below. Apply now!

PART 1 – APPLICATION INFORMATION

Please provide the FIN/Work Permit/S Pass number if the foreign employee had ever:

Applied for or worked in Singapore on an Employment Pass, S Pass or Work Permit
Studied in Singapore on a Student’s Pass
Stayed in Singapore on a Dependant’s Pass or Long Term Visit Pass

1A: Pass Declaration

Foreign Identification Number (FIN): (FIN held previously)

Work Permit Number/S Pass Number: (WP number held previously)

1B: Pass Duration

Duration of Pass Applied for: (up to 60 months)

PART 2 – FOREIGN EMPLOYEE’S PERSONAL INFORMATION

2A: Personal Particulars

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

Alias:

Sex:* FemaleMale

Date of Birth: (dd/mm/yyyy)

Nationality:

For Malaysian only

Malaysian Old Identity Card Number:

Malaysian Old Identity Card Colour:*
BluePink

Malaysian New Identity Card Number:

Malaysian New Identity Card Colour:*
BluePink

For Bangladeshi and Chinese only

Foreign Identity Card Number:

Country/Region of Birth: Country/Region of Origin: (country where the person obtained his first citizenship by birth or parentage)

State/Province of Birth: State of Origin:

If foreign employee's marital status is 'Married', please fill in the details below:

Is accompanying spouse a Singapore Citizen or Singapore Permanent Resident, Employment/S Pass holder or Work Permit holder?*
YesNo

Spouse First Name

Spouse Last Name

Spouse’s FIN/NRIC Number:

Spouse Identification Type:*

Spouse’s Date of Birth:

2B: Travel Document Information of Foreign Employee

Travel Document Type:*
Hong Kong Special Admin RegionInternational Cert of IdentityInternational PassportMacau SAR Travel Permit

Travel Document Number:

Date of Issue: (dd/mm/yyyy)

Date of Expiry: (dd/mm/yyyy)

2C: Foreign Employee’s Contact Details

Personal Email Address:

Personal Mobile Number: (+65)

PART 3 – FOREIGN EMPLOYEE’S EDUCATION / MEMBERSHIP DETAILS

Please fill in up to two qualifications that were awarded to the foreign employee. Please note that qualification is a key criterion in the assessment of the foreign employee’s eligibility for a work pass and should be provided where applicable.

3A: Education Details

(1) Awarding Body /Institution/ University that awarded the qualification

Country:

State/Province:

Name of Awarding Body /Institution/ University:

Main Campus or Affiliating College Attended: (applicable only for India qualification)

Qualifications#: (e.g. for Honours Degree, state class/division; Diploma)

Specialisation: (e.g. Civil engineering)

Faculty: (e.g. Engineering)

Period of Study (dd/mm/yyyy)

from:

to:

Mode of Study:* Distance LearningFull-TimePart-Time

(2) Awarding Body /Institution/ University that awarded the qualification

Country:

State/Province:

Name of Awarding Body /Institution/ University:

Main Campus or Affiliating College Attended: (applicable only for India qualification)

Qualifications#: (e.g. for Honours Degree, state class/division; Diploma)

Specialisation: (e.g. Civil engineering)

Faculty: (e.g. Engineering)

Period of Study (dd/mm/yyyy)

from:

to:

Mode of Study:* Distance LearningFull-TimePart-Time

Please complete the relevant information below if the qualification is STPM or MICSS

Sijil Tinggi Persekolahan Malaysia (STPM)

No. of Passes attained: (inclusive of General Studies/Pengajian Am) Principal pass-C Subsidiary pass-R
Has the foreign employee attained a pass in General Studies/Pengajian AM?*
YesNo

Malaysia Independence Chinese Secondary School (MICSS) United Examination Certificate

No. of Passes attained: (inclusive of Bahasa Inggeris/English language) passes

Has the foreign employee attained a pass in Bahasa Inggeris/English Language?* YesNo

3B: Societies/Organisations Membership (past five years to date)

(1) Society/Organisation Membership

Name of Society/Organisation:

Position Held:*
ChairmanMemberPresidentSecretaryTreasurerVice ChairmanVice President

Period (dd/mm/yyyy)

from:

to:

(2) Society/Organisation Membership

Name of Society/Organisation:
Position Held:*
ChairmanMemberPresidentSecretaryTreasurerVice ChairmanVice President

Period (dd/mm/yyyy)

from:

to:

PART 4 – FOREIGN EMPLOYEE’S EMPLOYMENT DETAILS

4A: Working Experience of Foreign Employee

Total Period of Working Experience

Years:

Months:

4A: Working Experience of Foreign Employee (Start with the most recent working experience)
Period (dd/mm/yyyy)	Name of Company	Country	Occupation	Last Drawn Monthly Salary (S$)
from: to:
from: to:
from: to:
from: to:
from: to:

4B: Salary Details

Please note that the fixed monthly salary includes only basic monthly salary and fixed monthly allowances. It is important that you read and understand the definition of fixed monthly salary, which can be found at http://www.mom.gov.sg.

Salary/Stipend Paid by*:
Singapore sponsorOverseas employer (not registered in Singapore / is arepresentative office registered with Enterprise Singapore)Both Singapore sponsor and overseas employer

Fixed Monthly Salary = Basic Monthly Salary + Fixed Monthly Allowances

E.g. S$5,000 = $4,500+ $500

As specified in Employment Contract:

Fixed Monthly Salary: S$

Basic Monthly Salary: S$

4C: Address and Duties to be Performed in Singapore

Occupation:

Duties – give full details and state if they are of a technical nature:

Block/House No:

Floor No:

Unit No:

Building Name:

Street Name:

Postal Code:

PART 5 – DIRECT EMPLOYER DETAILS

Name of Direct Employer: (as per registration with the relevant overseas authorities)

Country of Registration:

Overseas Registration Number:

Address:

Block/House No:

Floor No:

Unit No:

Building Name:

Street Name:

Tel Number:

Email Address:

PART 6 – SPONSOR COMPANY DETAILS

6A: General Information

Name of Sponsor Company:
Unique Entity Number (UEN):
Registration Number (ACRA):

Tel Number:

Fax Number:

Email Address:

Address

Block/House No:

Floor No:

Unit No:

Building Name:

Street Name:

Postal Code:

Relationship between Direct Employer and Sponsor Company and justification by Sponsor Company to have this foreign employee to work in Singapore:

6B: Financial & Other Information

Paid-up Capital (S$):
Nature of Business as declared with ACRA (Tickappropriate box)
ManufacturingConstructionMarine/ Shipping/Transport/ LogisticsRestaurant/ Hotel/ Retail/Trading/ WholesaleFinance/ ITOthers

Value of Turnover of the Company in the past 3 years

Year:

S$:

Year:

S$:

Year:

S$:

6C: Contact person details (for communication about this application)

Name of Company’s Authorised Representative&:

Tel Number:

Fax Number:

Email Address:

PART 7 – DECLARATION BY FOREIGN EMPLOYEE

Please check accordingly.

Have you ever:

(a) Been refused entry into or deported from any country?

YesNo

(b) Been convicted in a court of law in any country?

YesNo

(d) Entered Singapore using a passport issued by a different country?

YesNo

(e) Entered Singapore using a passport showing another name?

YesNo

(f) Been a Singapore Citizen or Singapore Permanent Resident?

YesNo

(g) Studied or worked in Singapore?

YesNo

(h) Stayed long term in Singapore (not as a tourist)?

YesNo

If any of the above answers from (a) to (h) is ‘Yes’, please provide details:

I confirm that the information as set out in this application for Employment Pass is to the best of my knowledge, true and correct. All documents submitted in support of this application for Employment Pass are true copies of the originals. 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.

I declare that I have not suffered and am not suffering from AIDS or infected with HIV or tuberculosis. I acknowledge that during the period of validity of my Employment Pass, if I am found to be suffering from AIDS or infected with HIV or Tuberculosis, the Employment Pass issued to me will be cancelled and I will have to leave Singapore by the date specified by the Controller of Immigration.

I have read and understood the Conditions of Employment Pass, as specified in the Employment of Foreign Manpower (Work Passes) Regulations, which are available on the MOM website. I shall ensure that these conditions will be complied with.

Further and in addition, I hereby declare that: –

1. I shall not make any false statement or submit any document which I know to be false in order to obtain an Employment Pass
and Visit Pass.

2. I understand that if I breach any condition above, my Employment Pass and Visit Pass will be revoked and I can be prosecuted
in Court, or expelled and prohibited from entering Singapore.

3. I shall not misuse controlled drugs or take part in any political or other activities during my stay in Singapore, which would make
me an undesirable or prohibited immigrant under the Immigration Act.

With reference to this application submitted for Employment Pass and residence in Singapore, I give my consent to the Government of Singapore to obtain from and verify information with any person, organisation or any other source for assessing my application.

I hereby give my consent for the Comptroller of Income Tax to verify my income stated in my current and renewal applications, based on my assessment record for the current Year of Assessment, for the Controller of Work Passes. In the event my assessment record for the current Year of Assessment is not available or finalised at the point of verification, I understand the Comptroller of Income Tax will verify my income against my assessment record for the two previous Years of Assessment. I also hereby give my consent for the Comptroller of Income Tax to thereafter communicate the results of the verification to the Controller of Work Passes.

I understand that a SingPass will help me to access Government e-services in Singapore and I give my consent to the Ministry of Manpower to share my personal details with the SingPass issuing agency. This allows me to apply for a SingPass account at a later time if I am eligible for a SingPass.

I agree to the terms and conditions

Date:

PART 8 – DECLARATION BY LOCAL SPONSOR

I hereby sponsor this application and certify that it is made for the purpose as stated by the foreign employee. I confirm that the information as set out in this application for Employment Pass is to the best of my knowledge, true and correct. I have obtained written consent from the foreign employee to apply for an Employment Pass (Sponsorship) for him/her. I will produce this consent when requested by the authority.

I have ensured that the foreign employee fully understands the contents of Part 7 of this application form. 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. I further understand that any false statement made by my company or myself in relation to this application for Employment Pass may adversely affect the future work pass applications of my company/firm.

I undertake to:

be responsible for the stay, maintenance and repatriation of the foreign employee;
Tindemnify the Singapore Government for any charges or expenses which may be incurred by the Government
in respect of the repatriation of the said foreign employee or any of his dependants; and
be responsible for the compliance by the foreign employee of any quarantine and medical surveillance imposed
on the foreign employee under Regulation 8 (2A) of the Immigration Regulations.

I understand that the Employment Pass is subject to the following conditions upon approval.

The foreign employee is to work in the occupation as stated in the Employment Pass card with the local sponsor
only. He/she is not to engage in any employment other than that specified in the application. Should there be a change in his/her duties or designation, the local sponsor is required to write in to Work Pass Division, Ministry of Manpower. If there is a change in local sponsor, the foreign employee must apply for a new work pass in order to work in Singapore; and
The local sponsor must cancel the foreign employee’s Employment Pass within 7 days upon termination of employment.

I shall keep copies of the foreign employee's education certificates as declared in the application form for as long as the foreign employee is in my employment. I understand the Ministry of Manpower can at any time request for these documents for verification and revoke the pass should the documents be inconsistent with the declaration furnished in the application form or if I am unable to produce the documents.

Name:

Date:

Designation / Capacity:

I agree to the terms and conditions