Declaration of Applicant(s) (PTS)

I hereby make an application via electronic-Permanent Residence (e-PR) for the grant of an Entry
Permit under Regulation 4 of the Immigration Regulations for :

(a) myself
(b) my spouse*; and
(c) my children*;
* delete where inapplicable

I/We* declare that by the act of submitting this application, I /My spouse and I* had completed the
application form -/together* and fully understood its contents before filling in the required
particulars.

I/We* declare that all information submitted in this application is true, accurate and complete to the
best of my/our knowledge and belief. I/We* understand that, if I/we* have concealed relevant
information or provided false, inaccurate or misleading information, I/we* may be prosecuted and
any facilities, rights or privileges granted under this application may be withdrawn.

I/We* hereby give my/our* consent to the use of the same set of thumbprints and photograph
(whichever is applicable), submitted in respect of my/our* application for immigration facilities, for
the purpose of Identify Card registration, if applicable.

I/ We* also hereby give my/our* consent for your department to obtain and verify the information
provided by me/us* in respect of this application, from or with any source, as you deem appropriate
for the purpose of assessment of my/our* application for immigration facilities.

I/We* understand that male children who are granted PR status under their parents’ sponsorship
are liable for National Service (NS) under the Enlistment Act. All NS-liable males aged 13 years old
and above, are required to obtain an Exit Permit when travelling overseas for 3 months or more.
Renouncing or losing one's PR status without serving or completing full-time NS would have an
adverse impact on any immediate or future applications to work or study in Singapore, or for
Singapore citizenship or PR status. Renouncing or losing one’s PR status without serving or
completing full-time NS may also adversely affect any immediate or future applications for renewal
of Re-entry Permits made by one’s family members or sponsors.

___________________ ______________________
Name of applicant Name of applicant’s spouse
(if applying for PR with the applicant)

___________________ ___________________ ______________________

Date (DDMMYYYY) Signature (same signature as
the one shown on passport, if
any) or Right thumb print
impression of applicant
Signature (same signature as the
one shown on passport, if any) or
Right thumb print impression of
applicant’s spouse (if applying for
PR with the applicant)

WARNING

IT IS AN OFFENCE UNDER THE IMMIGRATION ACT TO MAKE ANY

FALSE STATEMENT, REPRESENTATION OR DECLARATION

IN CONNECTION WITH THE APPLICATION OF PERMANENT RESIDENCE