FIWPS111Eb_E2 – IPA Work Permit 0 31878926 / 26 DEC 2018 EMPLOYER'S COPY

WANG LAI CONSTRUCTION

5001 BEACH ROAD
#07-38 GOLDEN MILE COMPLEX
SINGAPORE 199588

26 Dec 2018

NAME OF FOREIGN WORKER

Your application is approved PALANISAMY RAVICHANDRAN

WORK PERMIT NO.
0 31878926
Dear Sir / Madam PASSPORT NO.
G5121290
DATE OF APPLICATION
We are pleased to inform you that PALANISAMY
26 DEC 2018
RAVICHANDRAN's Work Permit application has been approved CPF SUBMISSION NO
in-principle. Please bring your new worker to Singapore before 46057800J - PTE - 01
this approval expires on 26 Mar 2019. MONTHLY LEVY RATE
S$950
The next page lists the steps you need to take for your worker to SB TRANSMISSION REF NO

be issued a Work Permit card. Your worker can start work on the 281627-
second day of the arrival in Singapore while waiting for the steps
to be completed.

You need to complete the steps within 14 days of the worker’s

arrival. Otherwise, MOM’s approval will be withdrawn and you
will need to send your worker home.

Yours sincerely

Penny Han (Mrs)

Controller of Work Passes

• You must comply with the Employment of Foreign Manpower Act, and the Conditions and
Regulatory Conditions of Work Permit. MOM will take action on non-compliance. You can
read the rules at www.mom.gov.sg

Ministry of Manpower Work Pass Division

Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 1 of 2
FIWPS111Eb_E2 – IPA Work Permit 0 31878926 / 26 DEC 2018
What you must do to get the Work Permit card:
Before they arrive
Check their employment details in the Work
Permit application form.
If you find an error, write to MOM with the supporting
documents using iSubmit at www.mom.gov.sg/iSubmit.
Send them the Employee's Copy of the In-
Principle Approval letter.
It is their visa and must be shown to Immigration to
enter Singapore.
Send them a copy of their employment
contract.
This contract must state their job scope, working days
and hours, basic monthly salary and terms such as
deductions and leave entitlements.
Give MOM a $5,000 Security Bond backed by
a bank or an insurance guarantee valid for 26
months.
Please use ''WP Online (Enquire > Security Bond
Status)'' to confirm that MOM has received the bond,
before arranging your worker to come to Singapore. If
MOM does not receive the bond by the time your
worker arrives, your worker will not be allowed into
Singapore and you will have to send the worker
home immediately at your own cost.
Buy medical insurance (hospital care and
day surgery) of at least $15,000 coverage per
year for them.
Buy Work Injury Compensation Insurance for
them.
Ministry of Manpower Work Pass Division
Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact
EMPLOYER'S COPY
After they get here
Within 14 days
Send them to a Singapore-registered doctor
for their medical examination.
Make sure they bring along the medical examination
form (go to www.mom.gov.sg > search for full medical
examination form for foreigner workers) and their In-
Principle Approval letter.
Ask them to attend the Construction Safety
Orientation Course or Apply Workplace
Safety and Health in Construction Sites
course.
If they already have the certificate, it must be valid for
at least 1 month from the date the work permit is
issued.
Some jobs require professional registration
(e.g. medicine, law) or licensing (e.g.
massage establishment licensing from
Police) to be carried out in Singapore. This
approval does not exempt the pass holder or
the employer from these requirements.
Log in to our Online Foreign Worker Address
Service (OFWAS) to register their Singapore
residential address and mobile number.
Log in to WP Online to get the Work Permit
card issued.
When your request has been approved,
please print the Notification Letter.
Follow the instructions on the Notification Letter to
receive the Work Permit card.
An SMS/email alert will be sent to you before
we deliver the card.
Page 2 of 2
FIWPS111Eb_W2 – IPA Work Permit 0 31878926 / 26 DEC 2018 EMPLOYEE'S COPY

PALANISAMY RAVICHANDRAN
C/O
WANG LAI CONSTRUCTION
5001 BEACH ROAD
#07-38 GOLDEN MILE COMPLEX
SINGAPORE 199588

26 Dec 2018

NAME OF FOREIGN WORKER

Your application is approved PALANISAMY RAVICHANDRAN

WORK PERMIT NO.
உஙகள விணணபபம ஏறறகொகொளளபபடடத 0 31878926

Dear PALANISAMY RAVICHANDRAN Before you leave home

நீ ங கள தொயநொடடைிரநத
பேபபடவதறக மனனர
Your application for a Work Permit has been approved in-
principle. This letter is proof of this and you can: Check your employment details on
• Use it as a visa to enter Singapore. page 2.
• Start work on the second day of your arrival. பககம 2-இல வைஙகபபடடளள
உஙகள ேவைைவொயபப
If you do not enter Singapore by 26 Mar 2019, this விவரஙகைளச சரபொரககவம.
approval will expire.
Within 14 days of your arrival
ேவைை அனமதிசசீடடககொன உஙகள விணணபபம ொகொளைக நீ ங கள வநதேசரநத 14
அளவில ஏறறகொகொளளபபடடளளத. அதறகொன சொனேே நொடகளககள
இநதக கடதமொகம. ேமலம, நீஙகள:
• இைத சிஙகபபரககள நைைவதறகொன ஒர விசொவொகப The steps to receive your Work
பயனபடதத மடயம Permit card must be completed.
• சிஙகபபரகக வநதிேஙகிய மறநொள ேவைைையத உஙகளின அசல கலவிச
ொதொடஙக மடயம சொனேிதழகள அலைத
திேனகளின சொனேிதழகள
நீ ங கள சிஙகபபரககள 26 Mar 2019 -ககள அைனதைதயம ொகொணட
நைையவிலைை எனில, இநத அனமதி வொரஙகள.
கொைொவதியொகிவிடம.

Yours sincerely

Penny Han (Mrs)

Controller of Work Passes

Make sure this approval is still valid using www.mom.gov.sg > search for 'validity check' > click 'Work Permit Validity
Check via Work Permit Online (Non-login)'.
இநத ஒபபதல இனனமம ொசலலபடயொகிேதொ எனபைத அேிய, www.mom.gov.sg > எனே இைணயததளததில
'validity check' எனபைதத ேதடககணடேிநத, 'Work Permit Validity Check via Work Permit Online (Non -login)'
எனபைதக கிளிக ொசயயவம.

Ministry of Manpower Work Pass Division

Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 1 of 5
FIWPS111Eb_W2 – IPA Work Permit 0 31878926 / 26 DEC 2018 EMPLOYEE'S COPY

*031878926261218* SB Transmission Ref No:281627-

Check your employment details

If you find a problem, please contact your employer or employment agent.
உஙகளைடய ேவைைவொயபப விவரஙகைளச சரபொரககவம
நீஙகள ஒர பிரசசைனையக கணடேிநதொல, உஙகளைடய மதைொளிைய அலைத ேவைைவொயபப
நிறவனதைதத ொதொடரபொகொளளஙகள.

YOUR NAME DATE OF BIRTH / SEX NATIONALITY

உஙகள ொபயர பிேநத ேததி / பொைினம ேதசிய இனம
PALANISAMY RAVICHANDRAN 12 MAR 1975 / MALE INDIAN
PASSPORT NUMBER WORK PERMIT NUMBER / FIN DATE OF APPLICATION
பொஸேபொரட எண ேவைை அனமதி எண / FIN விணணபப ேததி
G5121290 0 31878926 / F8225758Q 26 DEC 2018
NAME OF EMPLOYER INDUSTRY OCCUPATION
மதைொளியின ொபயர ொதொைிலதைே ொதொைில
WANG LAI CONSTRUCTION CONSTRUCTION CONSTRUCTION WORKER
BASIC MONTHLY SALARY FIXED MONTHLY ALLOWANCES FIXED MONTHLY SALARY
அடபபைட மொத சமபளம நிைையொன மொதொநதிர ஈடடபபடகள நிைையொன மொதச சமபளம
S$ 468 S$ 0 S$ 468
MONTHLY HOUSING, AMENITIES AND SERVICES MONTHLY DEDUCTION FOR OTHERS MONTHLY SALARY AFTER TAKING INTO ACCOUNT
DEDUCTIONS பிிே மொதொநதரப பிடததஙகள FIXED MONTHLY ALLOWANCES AND DEDUCTIONS
மொதொநதரக கடயிரபப, வசதிகள நிைையொன மொதொநதிர ஈடடபபட
S$ 0
மறறம ேசைவகளககொன பிடததஙகள மறறம பிடததஙகைளக கணககில
S$ 30 எடததக ொகொணட பிேகளள மொதச
சமபளம
S$ 438
HOUSING PROVIDED S'PORE EMPLOYMENT AGENCY (EA) AGENCY FEE TO BE PAID TO S'PORE EA (EXCLUDE
வட
ீ டவசதி வைஙகபபடடளளத சிஙகபபர ேவைைவொயபப மகவர FEES FOR OVERSEAS EXPENSES)
சிஙகபபர ேவைைவொயபப
YES N.A. மகவரககொன ஏொெனசி கடடணம
ஊைியரொல ொசலததபபடடத.
(ொவளிநொடட ொசைவகளககொன
கடடணஙகள நீஙகளொக)
N.A.

Get a copy of your employment contract. It should state your job scope, working days and hours, basic monthly salary
and terms such as deductions and leave entitlements.
உஙகள ேவைைவொயபப ஒபபநதததின நகல ஒனைேப ொபறறகொகொளளஙகள. அதில உஙகள ேவைையின
வைரயைே, ேவைைநொடகள மறறம மணிேநரஙகள, அடபபைட மொதொநதர ஊதியம மறறம கைிபபதொதொைககள
மறறம விடமைேககொன உரைமகள ேபொனே நிபநதைனகள கேிபபிடபபடடரகக ேவணடம.
Do not pay any fees for the $5000 security bond, levy, work permit application or renewal or cancellation, medical
insurance or examinations, training courses and the cost of your journey home. These fees are to be paid by your
employer.
$5000 பிைணப பததிரம, தீரைவ, ேவைை அனமதிசசீடட விணணபபம அலைத பதபபிததல அலைத இரதத,
மரததவக கொபபட
ீ அலைத பரேசொதைனகள, பயிறசி வகபபகள மறறம நீஙகள தொயநொடடறகச
ொசலவதறகொன பயணக கடடணம ஆகியவறறககொக நீஙகள எநதக கடடணஙகைளயம ொசலதத ேவணடொம.
இககடடணஙகள உஙகளைடய மதைொளியொல ொசலததபபட ேவணடம.

Ministry of Manpower Work Pass Division

Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 2 of 5
FIWPS111Eb_W2 – IPA Work Permit 0 31878926 / 26 DEC 2018 EMPLOYEE'S COPY

Know your rights and responsibilities

உஙகள உரைமகைளயம ொபொறபபகைளயம
ொதரநதொகொளளஙகள

You can only work in Singapore as a / an CONSTRUCTION WORKER for WANG LAI
CONSTRUCTION.
நீஙகள WANG LAI CONSTRUCTION -ககொக CONSTRUCTION WORKER -ஆக மடடேம சிஙகபபரல
ேவைைொசயய மடயம.

Your employer can reduce your monthly salary only if you agree.
Do not sign on any documents if you do not agree. If your employer reduces your salary without your
agreement, you should approach MOM.
நீஙகள ஒபபகொகொணடொல மடடேம உஙகள மதைொளியொல உஙகள மொதொநதரச சமபளதைதக கைேகக
மடயம.
உஙகளகக ஒபபதல இலைை எனேொல, எநத ஆவணததிலம ைகொயொபபமிடொதீரகள. உஙகள மதைொளி
உஙகளைடய ஒபபதல இனேி உஙகள ஊதியதைதக கைேககிேொர எனில, நீஙகள மனிதவள அைமசைச
(MOM) அணக ேவணடம.

You or your employer can end your employment at any time with sufficient notice.
If you go missing during employment, your employer can cancel your Work Permit. If you continue to be
in Singapore, you may be fined, jailed or caned for overstaying.
ேபொதமொன அேிவிபைப வைஙகவதன மைம நீஙகேளொ உஙகள மதைொளிேயொ எநத ேநரததிலம உஙகள
ேவைைவொயபைப மடவககக ொகொணடவரைொம.
ேவைைவொயபபின ேபொத நீஙகள கொணொமல ேபொயவிடடொல, உஙகள மதைொளி உஙகள ேவைை
அனமதிசசீடைட இரதத ொசயயைொம. நீஙகள சிஙகபபரல ொதொடரநத இரநதீரகேளயொனொல,
அனமதிககபபடட கொைததிறகேமல சடடவிேரொதமொக தஙகியிரபபதறகொக உஙகளகக அபரொதம,
சிைேததணடைன அலைத பிரமபட விதிககபபடைொம.

Ministry of Manpower Work Pass Division

Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 3 of 5
FIWPS111Eb_W2 – IPA Work Permit 0 31878926 / 26 DEC 2018 EMPLOYEE'S COPY

Know your rights and responsibilities

உஙகள உரைமகைளயம ொபொறபபகைளயம
ொதரநதொகொளளஙகள

You must obey the Employment of Foreign Manpower Act and the Conditions of Work Permit. If
you don't, MOM can revoke your Work Permit, prosecute and send you home.
You may read the rules at www.mom.gov.sg.
நீஙகள ொவளிநொடட ஊைியர ேவைை நியமனச சடடதைதயம ேவைை அனமதிசசீடடன
நிபநதைனகைளயம பினபறே ேவணடயத கடடொயமொகம. நீஙகள அவறைேப பினபறேவிலைை எனில,
MOM உஙகளைடய ேவைை அனமதிசசீடைட இரதத ொசயயைொம, சடட நடவடகைக எடககைொம
மறறம உஙகைளத தொயநொடடறகத திரபபியனபபைொம.
நீஙகள விதிமைேகைள www.mom.gov.sg -இல வொசிககைொம.

If you use an agent in your home country, be careful about fees and promises.
The Singapore Government is unable to help you with disputes with your agent in your home country.
நீஙகள உஙகள தொயநொடடல ஒர மகவரன (Agent) உதவிைய நொடயிரநதொல, கடடணஙகள மறறம
அவரன வொககறதிகைளப பறேி மிகவம கவனததடன இரஙகள. உஙகள தொயநொடடல உஙகளைடய
மகவரடன ஏறபடம பிரசசைனகளகக சிஙகபபர அரச எநதவிதததிலம உஙகளகக உதவி ொசயய
மடயொத.

Ministry of Manpower Work Pass Division

Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 4 of 5
FIWPS111Eb_W2 – IPA Work Permit 0 31878926 / 26 DEC 2018 EMPLOYEE'S COPY

Receive your Work Permit card

உஙகளைடய ேவைை அனமதிசசீ ட ட அடைடையப
ொபறறகொகொளளஙகள

Once you arrive in Singapore, your employer must complete the following steps within 14 days.
Otherwise, this approval will be withdrawn and you may be sent home.
நீஙகள சிஙகபபரகக வநதேசரநததம, உஙகள மதைொளி பினவரம வைிமைேகைள 14 நொடகளககள
ொசயதமடததிரகக ேவணடம. இலைைொயனில, இநத அனமதி திரமபப ொபேபபடட, நீஙகள
தொயநொடடறகத திரபபி அனபபிைவககபபடைொம.

Arrange a medical examination for you.

You must pass the examination to work in Singapore.
உஙகளகக ஒர மரததவப பரேசொதைனைய ஏறபொட ொசயதல.
நீஙகள சிஙகபபரல ேவைை ொசயவதறகொன ேதரவில ேதரசசி ொபறேொக ேவணடம.

Arrange for you to attend the Construction Safety Orientation Course or Apply Workplace Safety
and Health in Construction Sites course, if you do not have a certificate that is valid for at least 1
month.
கைேநதபடசம 1 மொதததிறகொன ொசலலபடயொகம சொனேிதைை நீஙகள ைவததிரககவிலைை எனேொல,
கடடமொனத ொதொைிலதைேககத ொதொடரபைடய பொதகொபபப பயிறசி வகபைப நீஙகள
நிைேவொசயவதறகொன கைநதொகொளவதறகொன ஏறபொட.

Apply for your Work Permit card to be issued and delivered.

உஙகளைடய ேவைை அனமதிசசீடட அடைடைய வைஙகவதறகம, ஒபபைடபபதறகம விணணபபம
ொசயதல.

Ministry of Manpower Work Pass Division

Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 5 of 5
 APPLICATION FOR A WORK PERMIT

USER ID :281627-
USER NAME :WANG LAI CONSTRUCTION
WPNO :0 31878926 DOA :26/12/2018
COMPANY CPF SUBMISSION NO. :46057800J - PTE - 01 DATE / TIME :26 December 2018 02:10 PM

PART I PERSONAL PARTICULARS OF FOREIGN EMPLOYEE

*03187892626122018*
NAME :PALANISAMY RAVICHANDRAN
DATE OF BIRTH :12/03/1975
NATIONALITY :INDIAN COUNTRY OF BIRTH :INDIA
STATE / PROVINCE :OTHERS PLACE / STATE / PROVINCE :TAMIL NADU
where the foreigner obtained his / her nationality OF BIRTH
MARITAL STATUS :SINGLE SEX :MALE
RACE :INDIAN RELIGION :HINDU
MALAYSIAN OLD IC NO. : COLOR OF IC :
PRC IC NO. : MALAYSIAN NEW IC NO. :
BANGLADESH BIRTH : FIN :F8225758Q
REGISTRATION NO.
TRAVEL DOCUMENT NO. :G5121290 TRAVEL DOCUMENT TYPE :PASSPORT
TRAVEL DOCUMENT EXPIRY :17/01/2027 ENDORSEMENT TYPE :NOT IN SINGAPORE
DATE
EDUC :PRIMARY 6
YEARS OF WORKING EXP : NAME OF INSTITUTION :
EXPIRY DATE OF LTVP :
CATEGORY OF WORKER'S : IS WORKER PREVIOUSLY A :NO
LTVP / DP SINGAPORE CITIZEN OR
PERMANENT RESIDENT

PARTICULARS OF EMPLOYMENT
EMPLOYMENT STATUS :EMPLOYEE
NAME OF EMPLOYER :WANG LAI CONSTRUCTION
OCCUPATION CODE :93300A
OCCUPATION DESCRIPTION :CONSTRUCTION WORKER
BASIC MONTHLY SALARY : S$468 HOUSING PROVIDED : YES
FIXED MONTHLY ALLOWANCES : NO FIXED MONTHLY DEDUCTIONS : YES
HOUSING, AMENITIES, & SERVICES ALLOWANCES : S$0 HOUSING, AMENITIES, & SERVICES DEDUCTIONS : S$30
TRANSPORT ALLOWANCES : S$0 OTHER DEDUCTIONS : S$0
OTHER ALLOWANCES : S$0 TOTAL FIXED MONTHLY DEDUCTIONS : S$30
TOTAL FIXED MONTHLY ALLOWANCES : S$0 MONTHLY SALARY AFTER TAKING INTO ACCOUNT : S$438
FIXED MONTHLY SALARY : S$468 FIXED MONTHLY ALLOWANCES AND DEDUCTIONS
VETTING AUTHORITY : SUPPORT FROM VA? :
TRAINING DURATION :
SUPPORT AUTHORITY :

PARTICULARS OF FOREIGN EMPLOYEE'S SPOUSE

WORKER MARRIED TO SC / SPR :
NAME :
DATE OF MARRIAGE : PLACE OF MARRIAGE :
DATE OF BIRTH : NATIONALITY :
RESIDENTIAL STATUS : COLOR OF IC :
IC NO. (SC / SPR) : DATE OF SPR ISSUANCE :
MALAYSIAN OLD IC NO. : MALAYSIAN NEW IC NO. :
PASSPORT NO. :

FIWPS549 Page 1 of 4
WPNO : 0 31878926 DOA : 26/12/2018

PART I (A) DECLARATION BY FOREIGN EMPLOYEE

I declare that -
(a) I have read and understood the applicable conditions of work permit, as specified in the Employment of Foreign Manpower (Work
Passes) Regulations c.91A, available at www.mom.gov.sg.
(b) I have / have never* been convicted in any country or state of an criminal offence (if applicable, please provide details)
*Delete accordingly
(c) For the purpose of assessing this application, I consent for the Government of Singapore and its statutory authorities to obtain
from and verify information with any person, organisation or any other source, and to disclose such information to its authorised
agents. For the purpose of my employment, I also consent for the Government of Singapore and its statutory authorities to display
my employment information on the MOM’s work pass systems, and to disclose such information to any relevant person or
organisation.
(d) The information as set out in PART I is true and correct; and that all documents I have submitted in support of this application for
a Work Permit are true copies of the authentic documents.
(e) For the purpose of setting up my bank account and free Migrant Workers' Centre (MWC) membership as part of this work permit
application, I consent to the Ministry of Manpower sending my personal particulars and work permit information to POSB and
MWC.
(f) I consent to my personal data being collected, used and retained by Migrant Workers' Centre (MWC) for the purposes of
processing, administering and managing my MWC membership and my participation in MWC's programs and activities.
(g) I understand that a SingPass will help me to access Government e-services in Singapore and I give my consent to the Ministry of
Manpower to share my personal particulars with the SingPass issuing agency. This allows me to apply for a SingPass account at
a later time if I am eligible for a SingPass.
(h) I consent to the Ministry of Manpower displaying my work pass details when my work pass card is scanned using the Ministry of
Manpower's work pass mobile application.
(i) I give my consent for the Ministry of Manpower to use my contact details to contact me during emergencies and to send me
messages related to my work pass and employment in Singapore. I also consent for the Ministry of Manpower to share my
contact details with other Government agencies and statutory authorities for the same purposes.
Signature of Foreign Employee

Date: (DD-MM-YYYY)

FIWPS549 Page 2 of 4
WPNO : 0 31878926 DOA : 26/12/2018

PART II PARTICULARS OF COMPANY OR EMPLOYER

MAIN CONTRACTOR / SHIPYARD :

CPF SUBMISSION NO. OF MAIN SHIPYARD / MAIN CONTRACTOR :
NAME :WANG LAI CONSTRUCTION
ADDRESS :5001 BEACH ROAD
#07-38 GOLDEN MILE COMPLEX
SINGAPORE 199588
BUSINESS ACTIVITY :BUILDING CONSTRUCTION NEC

CPF SUBMISSION NO. :46057800J - PTE - 01 REGISTRATION NO. :46057800J PRIOR APPROVAL :
(ACRA) REF NO.
TELEPHONE :66525296 FAX :62998203

TEMPORARY PERMIT ISSUED AT THE TIME OF SUBMISSION? : NO

CHANGE OF EMPLOYER
IS CONSENT GIVEN FOR TRANSFER? :
NAME OF CURRENT EMPLOYER :

PART II (A) DECLARATION BY EMPLOYER

WP NO. : 0 31878926 DOA : 26/12/2018

NAME OF WORKER : PALANISAMY RAVICHANDRAN
CPF SUBMISSION NO. : 46057800J - PTE - 01
NAME OF EMPLOYER : WANG LAI CONSTRUCTION

I declare that I am authorised to bind the employer for the foreign employee named in PART I to the following -
(a) I have read and understood the applicable conditions and regulatory conditions of work permit, as specified in the
Employment of Foreign Manpower (Work Passes) Regulations c.91A, available at www.mom.gov.sg.
(b) The employer consents, for the purpose of assessing this application, for the Government of Singapore and its statutory
authorities to obtain from and verify information with any person, organisation or any other source. The employer also
consents to the disclosure of all information thereby obtained by the Government of Singapore, to statutory authorities and
authorised agents.
(c) The employer is aware that the Controller of Work Passes uses its Central Provident Fund contribution information to
determine the number of local workers employed by the employer hence determining the number of foreign employees that
it may employ. The employer has ensured that its Central Provident Fund contribution record of payments as employer
required under the Central Provident Fund Act (Cap.36) only reflects every citizen or permanent resident of Singapore who
is employed by the employer and at the appropriate contribution rate prescribed by law. The employer has made any
voluntary CPF contributions only through a separate CPF Submission Number (CSN).
(d) The employer has obtained written consent from the foreigner to apply for a Work Permit for him/her. I will produce this
consent when requested by the authority.
(e) The employer has ensured that the foreign employee fully understands the contents of PART I and that it was signed by the
foreign employee.
(f) For the purpose of setting up the foreign employee's bank account as part of this work permit application, I consent to the
Ministry of Manpower sending the employer's particulars and contact information to POSB.
(g) The employer consents to the Ministry of Manpower displaying work pass details when the foreign employee's work pass
card is scanned using the Ministry of Manpower's work pass mobile application.
(h) The employer has / has not* used the services of an Employment Agency based in Singapore for the recruitment and / or
application of a work permit for this foreign employee.
*Delete (If applicable: Employment Agency Licence No: ___________________________________. Please also ensure that the
accordingly employment agency completes PART III).
(i) The information as set out in PART II and any appeals the employer has made in relation to this application are, to the best
of my knowledge, true and correct; and that all documents submitted in support of this application and any appeals made in
relation to this application, are true copies of the authentic documents.

Name of Authorised Representative: Organisation Stamp:

NRIC:
Designation:
Signature:

Date: (DD-MM-YYYY)

FIWPS549 Page 3 of 4
PART III PARTICULARS OF SINGAPORE EMPLOYMENT AGENCY AND DECLARATION OF FEES PAYABLE

IS A SINGAPORE EMPLOYMENT AGENCY USED FOR THE PURPOSES OF THIS APPLICATION FOR PALANISAMY
RAVICHANDRAN (WP NUMBER: 0 31878926) : NO

NAME OF SINGAPORE : _____________________________________ LICENCE NO. : _______________

EMPLOYMENT AGENCY
OPERATING ADDRESS : _____________________________________ TELEPHONE : _______________

FEE PAYABLE TO SINGAPORE EMPLOYMENT AGENCY

ANY FEES PAID BY THE EMPLOYEE TO THE SINGAPORE EMPLOYMENT AGENCY:

FEES FOR COSTS INCURRED : S$

OVERSEAS
AGENCY FEE : S$

PART III (A) DECLARATION BY SINGAPORE EMPLOYMENT AGENCY (applicable if the employer has used the services of a
Singapore Employment Agency.)

I declare that -

(a) I, the undersigned, am the Employment Agency personnel handling this application.
(b) I declare that I have obtained written consent from the employer and the foreigner to perform this transaction. I will produce this
consent when requested by the authority.
(c) I have explained the contents of the application and the applicable conditions and regulatory conditions of work permit, as
specified in the Employment of Foreign Manpower (Work Passes) Regulations c.91A to the foreign employee and the authorised
officer of the employer.
(d) The information as set out in this application and any appeals I have made in relation to this application is, to the best of my
knowledge, true and correct; and that all documents I have submitted in support of this application and any appeals I have made
in relation to this application, are true copies of the authentic documents.

Name of Employment Agency Personnel: Employment Agency Stamp:

Employment Agency Personnel Number:

Signature:

Date: (DD-MM-YYYY)

PART IV
TO BE COMPLETED BY CURRENT EMPLOYER IF WORK PERMIT HOLDER
NAMED ABOVE IS APPLYING FOR A CHANGE OF EMPLOYER

CONSENT TO TRANSFER FOREIGN EMPLOYEE

I, __________________________________________________ agree to release PALANISAMY RAVICHANDRAN 0 31878926

(Name of Company) (Name and WP Number of Worker )
to the prospective employer WANG LAI CONSTRUCTION
( Name of Prospective Company )

because ____________________________________________________________________________________________________.

Pending the outcome of the application, I undertake all responsibilities for the employment of the said employee and will extend his / her
work permit (if necessary). If the application is not approved and I do not wish to continue his / her employment, I will repatriate this
employee.

Name of Declarant: Organisation Stamp:

NRIC:
Designation:
Signature:

Date: (DD-MM-YYYY)

FIWPS549 Page 4 of 4