Declaration of Resignation for Technical Personnel of Registered by P1vyFK06


									                                                                     CONTRACTORS REGISTRY
                                                                     5 Maxwell Road #02-00
                                                                     Tower Block MND Complex
                                                                     Singapore 069110

                                                                     Toll-free line   : 1800-dial bca (3425 222)
                                                                                        Press 2 after connecting
BCA Contractors Registry                                             Fax              : 6324 0346
                                                                     Email            :
                                                                     Website          :
                                                                     Counter hours    : Mon - Fri
Resignation of Technical Personnel                                                      8.30am - 5.00pm

Please fill in the following information to enable us to update the Contractors Registry that you have
resigned from a BCA registered company (and employed by another BCA registered firm if applicable)

Details of Technical Personnel
 Name (same as in NRIC) Mr/Mrs/Ms:

            NRIC Number                                        Contact No (HP):

Resignation from BCA registered company
 UEN Number (Company
        Registration No.)
        Name of Company

       Date of Resignation

New employment with another BCA registered company (if applicable)
 UEN Number (Company
       Registration No.)
        Name of Company
      Date of Employment

I declare that all information given by me in this form are true and I fully understand that I cannot be
employed by more than one company at any one time and any false declaration or false information
provided by me is a serious offence.

___________________________                   _       ________________
Signature of Technical Personnel              Date

                                                                     Singapore 069110

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