新加坡签证申请表(英文版)Form-14A

Notes:*Tick(√)whereappropriateAPPLICATIONFORANENTRYVISAPARTI–PARTICULARSOFAPPLICANTName:NameasinTravelDocumentAliasDateofBirth:DDMMYYYYSex:*MaleFemaleMaritalStatus:*SingleMarriedSeparatedDivorcedWidowedCountryofBirth:State/ProvinceofBirth:Race:(e.g.Malay,Indian,Chinese,Caucasian,etc)Nationality:TypeofTravelDocumentHeld:(e.g.Passport,CertificateofIdentity,DocumentofIdentity,etc)TravelDocumentNo.:TravelDocumentIssuedDate:ExpiryDate:DDMMYYYYDDMMYYYYCountryofIssue:PlaceofIssue:AddressinCountryofOriginCountryofOrigin:Division/State/ProvinceofOrigin:PrefectureofOriginCounty/DistrictofOriginAddress:________________________________________________________________________________________________AffixarecentPassport-sizephotographhereFORM14AIMMIGRATIONACT[CHAPTER133,SECTION–55(1)]IMM14A-1-THISFORMISISSUEDFREEIMM14A-2-THISFORMISISSUEDFREEPARTII–OTHERDETAILSOccupation:HighestAcademic/ProfessionalQualificationsAttained:__________________________________________________________Religion/Denomination:_____________________________________________________________________________________Purposeofvisit:___________________________________________________________________________________________DateofIntendedArrivalinSingapore/PeriodofVisaAppliedFor:_______________________________________________HowlongdoyouintendtostayinSingapore?*Upto30daysMorethan30daysIfyourintendedstayinSingaporeismorethan30days,pleasestatethereasonforyourintendedlengthofstayandtheduration.______________________________________________________________________________________________________________________________________________________________________________________________________________________NationalityofSpouse:*SingaporeCitizenSingaporePermanentResidentOthers(PleaseSpecify)AddressinSingaporeWherewillyoubestayinginSingapore?*Next-of-kin’sPlaceRelative’sPlaceFriend’sPlaceHotelOthers(PleaseSpecify)______________Block/HouseNo.:FloorNo.:UnitNo.:PostalCode:StreetName:TelNo:_______________BuildingName:____________________________________________________________________________________________Didyouresideinothercountries,otherthanyourcountryoforigin,foroneyearormoreduringthelast5years?*YesNoIfyes,pleasefurnishdetailsPeriodofStayCountryAddressFromToPARTIII–ANTECEDENTOFAPPLICANT*(a)Haveyoueverbeenrefusedentryintoordeportedfromanycountry,includingSingapore?YesNo(b)Haveyoueverbeenconvictedinacourtoflawinanycountry,includingSingapore?YesNo(c)HaveyoueverbeenprohibitedfromenteringSingapore?YesNo(d)HaveyoueverenteredSingaporeusingadifferentpassportorname?YesNoIfanyoftheansweris“YES”,pleasefurnishdetailsonaseparatesheetofpaperIMM14A-3-THISFORMISISSUEDFREEPARTIV-DECLARATIONBYAPPLICANTIdeclarethattheparticularsanddocumentsfurnishedinrespectofthisapplicationaretrueandcorrect.IundertakenottomisusecontrolleddrugsortotakepartinanypoliticalorotheractivitiesduringmystayinSingaporewhichwouldmakemeanundesirableorprohibitedimmigrantundertheImmigrationAct.IundertaketocomplywiththeprovisionsoftheImmigrationActandanyregulationsmadethereunderoranystatutorymodificationorre-enactmentthereofforthetimebeinginforceinSingapore.IundertakenottoinvolveinanycriminaloffencesinSingapore.IundertakenottoindulgeinanyactivitieswhichareinconsistentwiththepurposeforwhichtheimmigrationpasseshavebeenissuedIfurtherundertakenottobeengagedinanyformofemployment,businessoroccupationwhilstinSingaporewithoutavalidworkpassissuedundertheEmploymentofForeignManpowerAct(Cap.91A).IamawarethatoverstayingorworkingillegallyinSingaporeisaseriousoffenceandonconviction,thepenaltiesmayincludemandatoryimprisonmentandcaning.IunderstandthatiftheControllerofImmigrationissatisfiedthatIoranymemberofmyfamilybreachesthisundertakingorbecomesanundesirableorprohibitedimmigrant,hewillcancelmyimmigrationpassandthepassesofthemembersofmyfamily,andwemayberequiredtoleaveSingaporewithin24hoursofsuchcancellation.IunderstandthatthisapplicationforandpossessionofavisadoesnotguaranteeentryintoSingaporeandpermissiontoentryisentirelydiscretionaryatthepointofentry.Igivemyconsentforyourdepartmenttoobtainandverifyinformationfromorwithanysourceasyoudeemappropriatefortheassessmentofmyapplicationforimmigrationfacilities.DateSignatureofApplicant