Employment Pass Form

Gender *

Male

Female

Marital status *

Single

Married

Divorced

Separated

Widowed

Is accompanying spouse a Singapore Citizen / Permanent Resident, Employment / S-Pass Holder or Work Permit holder?

Yes

No

Malaysian identity card colour

Blue

Pink

Race *

Caucasian

Chinese

Indian

Malay

Others (please specify below)

Religion *

Buddhist

Christian

Free Thinker

Hindu

Muslim

Sikh

Taoist

Others (please specify below)

Travel document type *

Hong Kong Special Admin Region

International Certificate of Identity

International Passport

Macau SAR Travel Permit

Did applicant attend classes on campus?

Yes

No

Mode of study

Distance Learning

Full Time

Part Time

Has the applicant submitted supporting documents for this qualification before?

Yes

No

Is the qualification an STPM or MICSS? (Malaysian qualifications only)

STPM

MICSS

Did applicant attend classes on campus?

Yes

No

Mode of study

Distance Learning

Full Time

Part Time

Has the applicant submitted supporting documents for this qualification before?

Yes

No

Is the qualification STPM or MICSS? (Malaysian qualifications only)

STPM

MICSS

Neither

Have you been a member of any societies/organisations in the past 5 years? *

Yes

No

Have you ever been refused entry into or deported from any country? *

Yes

No

Have you ever been convicted in a court of law in any country? *

Yes

No

Have you ever been prohibited from entering Singapore? *

Yes

No

Have you ever entered Singapore using a different passport issued by a different country? *

Yes

No

Have you entered Singapore using a different name? *

Yes

No

Have you ever been a Singapore citizen or Singapore permanent resident? *

Yes

No

Have you ever stayed in Singapore? *

Yes

No

Have you ever been issued a work visa in another country? *

Yes

No