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Application Form for Registration As A Licensed Water Service - PUB

Application Form for Registration As A Licensed Water Service - PUB

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<strong>PUB</strong>INSP-APPLN<br />

For Official Use<br />

PASSED / FAILED<br />

LICENCE NO.<br />

CARD NO.<br />

<strong>Application</strong> <strong>Form</strong> <strong>for</strong> <strong>Registration</strong> <strong>As</strong> A <strong>Licensed</strong> <strong>Water</strong> <strong>Service</strong> Plumber<br />

Instructions<br />

1. Please read the instructions be<strong>for</strong>e completing the <strong>for</strong>m.<br />

2. All in<strong>for</strong>mation required must be provided. Incomplete details, false particulars or wilful<br />

suppression of material facts will render the application liable to disqualification.<br />

3. All applicants will be notified of the outcome of their applications.<br />

4. The Board is not obliged to provide any reason <strong>for</strong> the selection of applicants.<br />

5. Shortlisted applicants will be required to pay a $20/- oral examination fee and produce original<br />

copies of their certificates (including the Registered Medical Practitioner, if any) and testimonials <strong>for</strong><br />

verification at a later date.<br />

6. This <strong>for</strong>m shall be submitted together with copies of the following documents :<br />

- One full-colour passport-size photograph<br />

- NRIC / Foreign Identification Number (FIN) / Passport / Work Permit (Front & Back)<br />

- Relevant Certificates / Diploma / Degree with transcripts<br />

- Testimonial(s) from <strong>PUB</strong> <strong>Licensed</strong> <strong>Water</strong> <strong>Service</strong> Plumber(s)<br />

Personal Particulars<br />

*Mandatory Fields<br />

Name*<br />

NRIC / FIN*<br />

Date of Birth*<br />

Nationality* Gender* F / M<br />

Age<br />

Work Permit (if any)<br />

Race<br />

Paste one<br />

recent fullcolour<br />

passport-size<br />

photograph<br />

Applicant’s Address<br />

Block/Unit.*<br />

Road/Street Name*<br />

Building Name*<br />

Postal Code*<br />

Email Address*<br />

Home No.*<br />

Mobile No.*<br />

Academic Qualifications<br />

*All fields are mandatory / Please attach a separate list as an attachment if space is insufficient<br />

*Qualification<br />

Certificate / Diploma / Degree<br />

*Name of Institution<br />

*Country of<br />

Institution<br />

*Issued Date<br />

(ddmmyyyy)<br />

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<strong>PUB</strong>INSP-APPLN<br />

Relevant Plumbing Experiences<br />

Please attach a separate list as an attachment if space is insufficient<br />

Name of Project Address/Location Start Date<br />

(ddmmyyyy)<br />

End Date<br />

(ddmmyyyy)<br />

Name of <strong>PUB</strong> <strong>Licensed</strong> Plumber<br />

& Licence No. ++<br />

++ Testimonial(s) from the <strong>Licensed</strong> <strong>Water</strong> <strong>Service</strong> Plumber(s) are to be submitted.<br />

Current Employment Details<br />

Alternatively, you can attach your name card together with your application<br />

Name of Employer<br />

Block/Unit.<br />

Road/Street Name<br />

Building Name<br />

Postal Code<br />

Designation<br />

Office No.<br />

Fax No.<br />

Date Joined<br />

Previous Employment Details<br />

Please attach a separate attachment if insufficient<br />

Name of Employer Designation Address Start Date<br />

(ddmmyyyy)<br />

End Date<br />

(ddmmyyyy)<br />

Declaration<br />

I have attached the supporting documents showing the relevant work experience I have acquired, <strong>for</strong> the purpose of my<br />

application.<br />

I certify that the in<strong>for</strong>mation given in this application and any documents attached are true, correct and complete.<br />

Signature of Applicant / Date<br />

For Official Use<br />

<strong>Application</strong> Status : APPROVED / REJECTED<br />

Date of Exam Fee Paid : Receipt No.:<br />

Mode of Payment : Cheque / Nets / Cash<br />

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<strong>PUB</strong>INSP-APPLN<br />

NOTES<br />

Qualifications<br />

An applicant who meets either one of the following requirements may apply <strong>for</strong> water service plumber licence;<br />

(a) (i) Possess a Builder Certificate in Plumbing & Pipefitting issued by the BCA Academy or other<br />

such qualifications as may be acceptable to <strong>PUB</strong>; and<br />

(ii)<br />

At least 2 years' relevant post-qualification plumbing experience under <strong>Licensed</strong> <strong>Water</strong><br />

<strong>Service</strong> Plumber(s)<br />

OR<br />

(b)<br />

Possess an Advanced Builder Certificate in Plumbing & Pipefitting issued by the BCA Academy or<br />

such other qualifications as may be acceptable to <strong>PUB</strong>.<br />

Applicant who is issued with lifetime licence and has reached 65 years or older is required to obtain certification<br />

from a Registered Medical Practitioner (RMP) once every 3 years certifying him fit to carry out and/or supervise<br />

plumbing works. The RMP <strong>for</strong>m can be downloaded from the <strong>PUB</strong> website at www.pub.gov.sg.<br />

Applicants will be examined on the following:<br />

• Public Utilities Act<br />

• Public Utilities (<strong>Water</strong> Supply) Regulations;<br />

• Singapore Standard CP48 - Code of Practice <strong>for</strong> <strong>Water</strong> <strong>Service</strong>s<br />

• Handbook on <strong>Application</strong> <strong>for</strong> <strong>Water</strong> Supply<br />

• Knowledge of plumbing practices<br />

Contribution to Medisave <strong>for</strong> New Applicants<br />

Under the CPF Act, the CPF Board requires all self-employed persons to pay Medisave contributions as long as<br />

they earn a yearly net trade income of more than $6,000.<br />

For application of new licences, applicants must ensure that they have paid up their Medisave liabilities or have<br />

arranged <strong>for</strong> payment by instalment. For more in<strong>for</strong>mation on the Medisave <strong>for</strong> the Self-Employed Scheme or to<br />

check the Medisave payment status <strong>for</strong> licence application or renewal, please logon to the CPF website at<br />

www.cpf.gov.sg<br />

For further enquiries, please contact:<br />

Inspectorate Branch<br />

<strong>Water</strong> Supply (Network) Department<br />

Public Utilities Board<br />

40 Scotts Road #10-01<br />

Environment Building<br />

Singapore 228231<br />

Telephone Nos. : 67313357 / 67313859 / 67313669<br />

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