Status of Singapore Work Permit Application Work Pass Division 18 Havelock Road Singapore by oht14582

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									  Work Pass Division
  18 Havelock Road
  Singapore 059764
  Tel: 6438 5122
  http://www.mom.gov.sg
  mom_wpd@mom.gov.sg


                                     Temporary Work Permit Application
                                         For A Confinement Nanny
  This form may take you 10 minutes to fill in.
  You will need the following information to fill in the form:

  1.    For Confinement Nanny
           The Confinement Nanny’s name, date of birth, marital status and religion
           The Confinement Nanny’s Work Permit number (if applicable)
           The Confinement Nanny’s Malaysian IC number
           The Confinement Nanny’s travel document details
           The Confinement Nanny’s citizenship, place of birth, race and highest qualification.

  2. For Confinement Nanny’s employer and spouse
         The employer’s and employer’s spouse personal particulars
         The employer and spouse’s NRIC No./FIN (if applicable)
         The employment information of both employer and employer’s spouse.

  Important Notes:
  1. Please complete all the Parts in this application form. Where an item is not applicable, please fill in “NA”. An incomplete form will
     not be processed.

  2.    Documents to be attached to the completed application form:
        a) a copy of the employer’s Identity Card (for Singaporeans, Singapore Permanent Residents and Malaysians)
        b) a copy of the employer’s passport and Employment/Dependent Pass (for foreigners and non-Singapore Permanent
           Residents)
        c) a copy of the worker’s passport/travel document
        d) a copy of the worker’s Identity Card (Front and back)
        e) a copy of the letter from the employer’s/spouse’s doctor stating the pregnancy or delivery of baby (the letter should state the
           expected due date) or Birth Certificate / Notification of Live Birth
        f) a copy of the worker’s educational certificate [e.g. GCE ‘O’ level, Sijil Pelajaran Malaysia (SPM) or its equivalent] if her
           educational level is Sec 4 or above.

  3.    The processing time for Work Permit Applications submitted via:
           WP Online (For Employers of Foreign Domestic Workers) > ‘Services and Forms’               - Next working day
            at http://www.mom.gov.sg
           SingPost post offices (MOM-appointed Collecting Agent)                                     - 5 working days

  4.    For prospective Confinement Nanny employers, please obtain a Singapore Personal Access (SingPass) before you access WP
        Online (WPOL) to apply for Work Permits electronically.

  5.    An administrative fee of $10 will be charged for every Work Permit application submitted. There shall be no refund of fee paid for
        the application of Work Permit, unless the fee was not due from the employer. Any such request for refund shall be at the
        discretion of the Controller of Work Passes.

  6.    Prospective Confinement Nanny employers are advised to submit applications not more than one month before the expected
        date of delivery of new born.

  7.    The payment modes for Work Permit application submitted via:
           WPOL for Company and Employment Agency Users                               - Visa/Master Card/eNets Debit/GIRO
            (GIRO payment is available to WPOL subscribed users only).
           WPOL for Employers of Confinement Nanny                                    - Visa/Master Card/eNets Debit
           SingPost post office (MOM-appointed Collecting Agent)                      - Cash/Nets/Cashcard

  8.    If the application (submitted via SingPost) is approved, an In-Principle Approval (IPA) letter that is valid for one month will be
        mailed to the employer.


 Please fill in the employer’s and spouse’s NRIC No./FIN, if any (This NRIC No./FIN is to be used for the payment of the foreign worker
 levy):

 Employer’s NRIC No./FIN.:                                                Spouse’s NRIC No./FIN.:

 If the foreign worker holds a Work Permit or has held a Work Permit before, please fill in her Work Permit number:

 Work Permit Number:                  -

 For Official Use:

 DoA:                                     DoTP:                            NRIC No./FIN:
WPDP    008
                                          Temporary Work Permit Application For A Confinement Nanny



 Key Information:
 1.     The Confinement Nanny must be:
       (a) a Malaysian female
       (b) between 23 and 58 years old
       (c) employed at her employer’s residential address.
 2.     The validity of the Temporary Work Permit will be no more than 16 weeks.
 3.     Prospective Confinement Nanny employers are discouraged from submitting Work Permit applications for a confinement nanny for
        cases where the newborn is more than four months old.


 Part 1      Personal Particulars of Confinement Nanny

 Please  the appropriate

 Name (as in Identity Card/Passport/Other Travel Documents) in BLOCK LETTERS. Please underline the surname.




 Malaysian New Identity Card No.:

 Malaysian Old Identity Card No. (if any):

 Type of Identity Card:                                 1 Malaysia Pink                               2 Malaysia Blue

 Travel Document No.:

 Expiry Date (dd-mm-yyyy)                          -            -

 Type of Travel Document Held:                   1 Passport               2 Certificate of Identity             3 Other Travel Documents

 Type of Present Endorsement in Travel Document:

      0 Current Work Permit holder               2 Special Pass           3 Short Term Visit Pass

      4 Long-Term Visit Pass (More than 3 months). Please state the expiry date (dd-mm-yyyy):___________________.

      5 Dependant’s Pass                         6 Not Applicable (Foreign worker is not in Singapore)

 Sex:           1 Male                2 Female

 Marital Status:             1 Single            2 Married           3 Divorced/Separated             4 Widowed

 Date of Birth (dd-mm-yyyy)                        -            -

 Race:            1 Malay                2 Chinese                  3 Indian
                  4 Others (Please specify:________________________________________________)

 Place of Birth:                MY Malaysia                         Others (Please specify:________________________________________)

 Citizen of:                    MY Malaysia                         Others (Please specify:________________________________________)

 Highest Qualification Obtained (Please attach a copy of the worker’s educational certificate if the education level is not lower than Sec 4):

      00 No Education                    16 Primary Education                   24 Secondary Education                  26 Senior High School
      30 Diploma                         90 Education Unknown

 Religion:               B Buddhist                    F Free Thinker             M Muslim                   H Hindu             C Christian
                         S Sikh                        O Others

 Worker’s Basic Salary if the application is approved: $ ________________________ per month.




WPDP      008
                                       Temporary Work Permit Application For A Confinement Nanny


 Part 2     Particulars of Prospective Employer

 Employer’s Name:

 Date of Birth (dd-mm-yyyy):                -          -

 Address:



 Marital Status:            1 Single                2 Married                3 Divorced/Separated              4 Widowed

 Residential Status:        1 Singapore Citizen/Permanent Resident           2 Employment Pass holder

                            3 Others (Please specify: ________________________________________________)


 Particulars of Employer’s Identity Card (for Singaporeans and Malaysians) or Passport (for other Nationalities)

 Identity Card No:

 Colour of Identity Card:      *Pink/Blue                       Country of Issue:        *Singapore/Malaysia

 Passport Number:                                               Country of Issue (Passport):



 Part 3     Particulars of Prospective Employer’s Spouse

 Name of Employer’s *Wife/Husband:

 Date of Birth (dd-mm-yyyy)                 -          -

 Residential Status:        1 Singapore Citizen/Permanent Resident         Employment Pass holder

                            3 Others (Please specify: ___________________________________________________)

 Details of Employer’s Identity Card (for Singaporeans and Malaysians) or Passport (for other Nationalities)

 Identity Card No:

 Colour of Identity Card:      *Pink/Blue                       Country of Issue:        *Singapore/Malaysia

 Passport Number:                                               Country of Issue (Passport):




WPDP   008
                                      Temporary Work Permit Application For A Confinement Nanny


   Part 4      Additional Information from Prospective Employer and Spouse

   Employment Details                                           Employer                                        *Wife/Husband
   Occupation:
   Name of Company:
   Tel No. (For Contact Purpose):


   Employer’s Monthly Income:

   Intended Employment Start Date:                          -              -

   Duration Required:                      days       (Maximum of 112 days allowed)


   Expected Date of Delivery:                     -              -
   (Please ensure that the completed application form is submitted at least seven (7) working days before the intended employment start date.)

   Type of Residence:

        11 Bungalow                            12 Semi-detached House                      13 Terrace House                      33 HDB (3-Rm)
        22 Shop House                          31 HDB (1-Rm)                               32 HDB (2-Rm)                         37 HUDC
        34 HDB (4-Rm)                          35 HDB (5-Rm & above)                       36 HDB (Others)                       23 Private Flat/Apt
        24 Public Flat/Apt (Non-HDB)                                                       61 Quarters

   Employer’s Family Members Details:

              BC/Passport/IC/FIN                       Relationship                Date of Birth           Staying in the same address as
                                                                                                           employer? (Please indicate Yes/No)




   Part 5      Employer’s Declaration

   1.     All the particulars given in this application form are true and correct and I hereby give my consent to the Division to verify the
          particulars with any Government Agency.
   2.     I am aware that if I make any false statements or produce any documents which I know to be false, I shall be guilty of an
          offence.
   3.     I also understand that the levy liability of the Temporary Work Permit will start from the date the Temporary Work Permit is
          issued.
   4.     I *am/am not an undischarged bankrupt.




   Name of Employer                                               Signature of Employer                                     Date
   *Delete where inapplicable.




                                                           The form is updated on 24 May 2011.
WPDP    008

								
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