Declaration of Resignation for Technical Personnel of Registered

							                                                                     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            : bca_enquiry@bca.gov.sg
                                                                     Website          : www.bca.gov.sg
                                                                     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
             (dd/mm/yyyy)

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


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