Application for Prior Approval - Ministry of Manpower

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Application for Prior Approval (PA) to Recruit Non-Traditional Source (NTS)/ People’s Republic of China (PRC) Workers in Marine Industry This form may take you 10 minutes to fill in. You will need the following information to fill in the form: � The applicant company’s CPF Submission No. � The project/ contract details � The CPF Submission No. of the supporting shipyard This form is to be signed only by a Director/Partner/Sole Proprietor listed in the Instant Business Profile Printout. The date of all the signatures in the application forms must not be more than 1 month at the time of submission. Part I: Particulars of Applicant Company Name & address of company Company’s CPF Submission Number Tel number Fax number Part II: Type of Prior Approval Applying For (Please Tick the Appropriate Box) WPMS 004 This form is updated on 09 Nov 2012 Singapore ( ) Source of Workers (please tick): □ NTS (Bangladesh, India, Thailand, The Republic of the Union of Myanmar, Philippines or Sri Lanka) □ PRC One-Year Work Permit □ Number of New Workers: □ Number of Renewal Workers: Two-Year Work Permit □ Number of New Workers: □ Number of Renewal Workers: Part III: Project Duration and Value (Project Awarded to Applicant Company) (a) To be completed by Non-Sponsoring Shipyard/Common Contractors Project Duration : From _____________________________ To ________________________________ Project Value : S$ __________________________ (b) To be completed by Non-Sponsoring Shipyard only Contact details of client: Name & address of company Singapore ( ) Name of Person-in-charge Tel number Fax number Email Address 2
Part IV: Particulars of Main Shipyard (To be completed by Supporting Shipyard) Name & address of company WPMS 004 Application for Prior Approval (PA) to Recruit Non-Traditional Source (NTS)/People’s Republic of China (PRC) Workers in Marine Industry Company’s CPF Submission Number Tel number Fax number Part V: Declaration (By Applicant Company) This form is updated on 09 Nov 2012 Singapore ( ) I, ________________________________________, holder of NRIC No._________________________, in my capacity as (Name of Person Making Declaration) ___________________________________ of the Applicant Company mentioned above, hereby declare that my company (Position/Designation) has been awarded a contract by _______________________________________________________________________. (Name of Owner/Company Awarding contract to Applicant Company) I confirm that the information and documents, which I have given for this application, are true and correct. I further declare that the above Prior Approval application made by my company is meant for the recruitment of Foreign Workers for the purpose of the above contract and they shall be engaged solely in the ship-building or ship-repairing activities. My company has read and understood all the Conditions and Regulatory Conditions of Work Permit and agrees to abide by them. We will also comply with the provisions of the Employment Act. I understand that failure to do so will affect my company’s present and future Work Permit applications. The Controller of Work Passes also reserves the right to revoke Work Permits issued if the Work Permit conditions are not compiled with or the documents submitted in supporting the applications are not valid. Name & NRIC number of Declarant Signature of Declarant Date Company’s Stamp Part VI: Declaration (Only to be completed by Registered Shipyard supporting Common Contractor) (Declaration should be made by the main shipyard that is supporting and has awarded contracts to the Applicant Company) I, _______________________________________, in my capacity as _______________________________________ of (Name of Person Making Declaration) (Position/Designation) _______________________________________ hereby declare that __________________________________________ (Name of Supporting Shipyard) (Name of Applicant Company) has been awarded a contract by _______________________________________________________________to work (Name of Company Awarding Contract to Applicant Company) on the project as stated above in Part III and the latter is a bona fide sub-contractor for the project. Name & NRIC number of Declarant Signature of Declarant Date Main Shipyard‘s Company Stamp 3
Page 1: Work Pass Division 18 Havelock Road

Application for Prior Approval - Ministry of Manpower

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