Have you or has any one of the persons included in this application ever entered Singapore using other Passports and different Particulars?
□ Yes
□ No
Hale Waihona Puke If ‘Yes’, please state: Name and Date of Birth:____________________________________________________________ Type and Passport No :____________________________________ Date of Issue :______________
(ii) your spouse, your spouse’s family or a third party for agreeing to enter into this marriage? Did you enter into this marriage with your spouse to enable you to obtain long-term stay in Singapore?
Please provide detailed particulars of all passports used. If the applicant is the spouse of a Singapore Citizen or Singapore Permanent Resident, please fill up this Part
Marital Status 1. Occupation Salary per Month a) Basic : S$__________ b) Gross : S$__________ 2. Highest Academic Qualifications Attained (if different from item 3) 3. 1 Degree, Type and Class nd (e.g., B.A.(Hons) 2 Upper / Diploma)
Affix a recent passportsized colour photograph of Applicant here
This form may take you 20 minutes to fill in
PART A – TYPE OF APPLICATION
I am applying for the grant of an Entry Permit to enter and reside in Singapore as (select one only) I am the spouse/child of a Singapore Citizen I am the spouse/child of a Singapore Permanent Resident I am the parent of a Singapore Citizen Other reasons (please specify)_________________________________________________________________
If your answer is “Yes” to any of the above, please provide a detailed explanation in a separate sheet of paper.
Signature of Applicant / Sponsor: ________________________________ Page 2 of 7
Name of School / College / University (State Province / State & Country)
No. of children who are S’pore Permanent Residents No of children who have other nationalities
Type & Serial No. of Travel Document Held
Date and Place of Issue
Date of Expiry
l__l__I / I__I__I / I__I__I__I__I
Day Address in Country of Nationality Month Year
PART C – PARTICULARS OF APPLICANT’S SPOUSE
(To be filled in only if applicant’s spouse is not the local sponsor)
FOR OFFICIAL USE
FIN No (if any) : I__I__I__I__I__I__I__I__I__I
st
Applicant’s Children (if applicable)
No. of children who are S’pore Citizens
l__l__l l__l__l l__l__l
Name of School / College / University (State Province / State & Country)
□ Yes □ Yes □ Yes □ Yes □ Yes
□ No □ No □ No □ No □ No
ii) Any other country?
If your answer is “Yes” to any of the above, please provide a detailed explanation in a separate sheet of paper
PART B – APPLICANT’S PARTICULARS
FIN No (if any) : I__I__I__I__I__I__I__I__I__I
FOR OFFICIAL USE
EP CATEGORY
Identification Type and No. (for Malaysians only) New ID No. : I__I__I__I__I__I__I - I__I__I - I__I__I__I__I Old ID No. : I__I__I__I__I__I__I__I__I Name in Travel Document. Please use BLOCK LETTERS (Underline Surname) Gender
EP CATEGORY Identification No. (for Malaysians only) New ID No. : l__l__l__l__l__I__I – I__I__I – I__I__I__I__I Old ID No. : l__l__l__l__l__l__l__l__l Applying for PR with you? l__l__l__l
Have you or has any one of the persons included in this application ever: (a) (b) (c) (d) Been prohibited from entering Singapore or any other country? Been asked/required to leave Singapore or any other country? Been refused entry into or deported from Singapore or any other country? Been convicted of or currently charged with a crime or offence in i) Singapore?
FORM 4
APPLICATION FOR PERMANENT RESIDENCE IN SINGAPORE
This application is an application for an Entry Permit under Regulation 4 of the Immigration Regulations You may apply for permanent residence while in Singapore or abroad
I acknowledge receipt of original documents presented for sighting
Signature:____________________ Date: _______________________
(If the sponsor is your spouse and the both of you are not living together, please provide reasons in a separate sheet of paper.)
l__l__l__l
□ □
Male Female
ENT/ I__I__I__I__I__I__I/ I___I__I
Chinese Characters (if applicable)
Alias (if any) 1. I__I__I__I__I__I Nationality Race Religion (Denomination)
Did you provide money or any form of benefit, directly or indirectly to: (i) your spouse, your spouse’s family or a third party in relation to the sponsoring of this application? □ Yes □ Yes □ Yes □ No □ No □ No