form sol controller

8/11/2019 Form Sol Controller

1/13

In-Principle Approval for Work Permit Employer's Copy

IPA No : 06376745-200814 ! "ran#mi##ion $ef No: 354740-

%IN:&2138708N

'IAN WAN& &(N($A) *+N"$A*"+$ , "$AIN& P"(. )".200 /A)AN )"AN04-1 "("I)( *(N"$(

IN&AP+$( 1018

23 A 2014

ear ir aam

We are plea#e to inform 9o tat te Work Permit application for ;AAN %Aorker. If 9o o not complete te#e #tep# >itin 14 a9# of 9or>orkerB# arrival ti# approval >ill =e revoke an 9o >ill nee to repatriate 9or >orker.

@or# faitfll9

Penn9 ;an Cr#D*ontroller of Work Pa##e#

*eck te etail#. If 9o ave an9 correction# plea#e #en in 9or amenment# >it te #pportinocment# to >>>.mom.ov.#i#=mit. We >ill inform 9o >eter a ne> application i# reEire.

In#tr9 CONSTRUCTION

WorkerF# name HASAN MD FAKHRUL

ate of !irt 30 MAR 1988

Nationalit9 AN!LADESHI

Pa##port nm=er AA"3#1$$$

Work Permit nm=er 0 #3$#$%"&

ate of Application 0 AU! 01%

+ccpation CONSTRUCTION (ORKER

Perio of Work Permit 1 )EAR*S+

*P% =mi##ion Nm=er 00$09180! & ,TE & 01

!a#ic montl9 #alar9 S- 900

%i?e montl9 allo>ance# S- 0

%i?e montl9 #alar9 S- 900

ontl9 o#in ection S- 0

ontl9 foo ection S- 0

ontl9 #alar9 after takininto accont fi?e montl9allo>ance# an ection#

S- 900

;o#in provie )ESontl9 )ev9 $ate S- ""0

Se./ e (or2ers Copy o4 e I.&,r5.65ple Appro7l leer o yor :or2er; Oer:5se< yo my =el5=le 4or pe.ly o4 p o S-10or .y oer /m5.5sr57e 65o.;

Comply :5 e Employme. o4 Fore5?. M.po:er A6< ./ e Co./55o.s ./ Re?loryCo./55o.s o4 (or2 ,erm5< 75l=le :::;mom;?o7;s?; Oer:5se< e (or2 ,erm5 my =e

re7o2e/ ./ yo my 46e 6r5m5.l or /m5.5sr57e pe.l5es *5.6l/5.? /e=rme.+;

M5.5sry o4 M.po:er (or2 ,ss D575s5o. Telepo.e G65 64385122 F6s5m5le G65 63171367%IWP111(=H( 18 ;avelock $oa inapore 05764 (e=s5ettp:>>>.mom.ov.# Em5l momH>pmom.ov.# ,?e 1 o4


2/13

In-Principle Approval for Work Permit Employer's Copy


%IN:&2138708N

Plea#e complete te follo>in ta#k# #o tat 9or >orker ma9 receive teir Work Permit car:

e4ore yor :or2ers rr57l

i en te WorkerB# *op9 of te In-Principle Approval letter >ritten in te native lanae to 9or >orker.It i# teir vi#a an m#t =e #o>n to Immiration to enter inapore.

i Provie 9or >orker >it a cop9 of te emplo9ment contract. "i# contract #ol #tate te occpationJo= #cope ail9 >orkin or# nm=er of >orkin a9# =a#ic montl9 #alar9 an term# #c a#ection# rate of overtime pa9 an leave entitlement#.

i Provie a K5000 ecrit9 !on =acke =9 a =ank or in#rance arantee vali for 26 mont#. *eckvia 9or Work Permit +nline Accont CWP+)D tat te ecrit9 !on a# =een receive =9 + =eforete >orkerF# arrival. If >e o not ave te ecrit9 !on etail# 9or >orker >ill =e ref#e entr9.

i !9 meical in#rance Cinpatient care an a9 #rer9D of at lea#t K15000 per 9ear for 9or >orker.

i !9 Work InJr9 *ompen#ation In#rance for 9or >orker.

A4er yor :or2er's rr57l

i (n#re tat 9or >orker complete# a meical e?amination =9 a rei#tere meical practitioner ininapore.

i ;ave 9or >orker atten te *on#trction afet9 +rientation *or#e. If 9or >orker alrea9 a# tecertificate it m#t =e vali for at lea#t 1 mont from te ate te Work Permit i# i##e.

Re@es 4or e (or2 ,erm5 6r/ o =e 5sse/

i )oin to te WP+) >itin 14 a9# of 9or >orkerB# arrival to reEe#t for te Work Permit to =e i##e.

+ter>i#e ti# approval >ill =e revoke an 9o >ill nee to repatriate 9or >orker. If 9o nee elpplea#e refer to te Ftep =9 tep &ie to I##e A %orein WorkerB# Work PermitF via WP+) or vi#it>>>.mom.ov.#. Cclick on %orein anpo>er L Pa##e# , Mi#a# L Work Permit C%orein WorkerD L After9o appl9D.

Upo. ppro7l o4 re@es

i Wen 9or reEe#t a# =een approve plea#e print te Notification )etter.

i ;ave 9or >orker report to te + ervice# *entre ;all * >it te ocment# li#te in te Notification)etter.

(or2 ,erm5 6r/ /el57ery

i @or car >ill =e elivere to 9o. @o >ill receive an email alert prior to te eliver9 ate.

M5.5sry o4 M.po:er (or2 ,ss D575s5o. Telepo.e G65 64385122 F6s5m5le G65 63171367%IWP111(=H( 18 H7elo62 Ro/ S5.?pore 0"9$#% (e=s5e ttp:>>>.mom.ov.# Em5l momH>pmom.ov.# ,?e o4


3/13

IIn-Principle Approval for Work PermitWorker's Copy English


%IN:&2138708N

'AAN () %A*'$+,co .IAN WAN& &/N/$A, N"$A"$ "$A)IN& P"/ ,")200 A,AN +,"AN04-1 "/"I,/ /N"$/

IN&AP$/ 1018

23 A9 2014

)ear 'AAN () %A*'$+,

We are plea#e to inform ;o t


4/13



%IN:&2138708N

*06376745-200814*

mportant Ensure that this approval has not .een &an&elle nor epire!

Che&k via www!mom!gov!sg &li&k Servi&es 3 -orms (asses Work (ermit $or -oreign Workers Work (ermit 5aliity Che&k via Work (ermit 6nline7 or &all us at 89: 94/;:122! You will nee to enteryour Work (ermit num.er an +ate o$ %ppli&ation isplaye .elow!

Che&k your etails .e$ore you leave your home &ountry

If ;o fin a pro=lem ?it< tC,6N W6)=E)

!a#ic monte monte mont


5/13



%IN:&2138708N

(rote&t yoursel$ =now your rights an responsi.ilities

% @o are onl; permitte to ?ork in in9apore a# a an N"$+"IN W$*/$ for .IAN WAN&&/N/$A, N"$A"$ "$A)IN& P"/ ,")

# @o or ;or emplo;er


6/13

I ( ) Bengali

IPA No : 06376745-200814 SB Transmission Ref No: 354740-

FIN:G2138708N

ASAN !" FA#R$%&'o (IAN )ANG G*N*RA% +,NTRA+T,R TRA"ING PT*. %T".200 /A%AN S$%TAN04-1 T*TI%* +*NTR*

SINGAP,R* 1018

23 A 2014

ASAN !" FA#R$%

! "# $%& '( )*+ ,- $ '.' $ / 0& '( )*+ 1 " - '( )* . ) ! 23- !%&

. ,4 (54 )*+ " $&'( )* !$ 6

. ,4 $7

+,NSTR$+TI,N ),R#*R $ (IAN )ANG G*N*RA% +,NTRA+T,R TRA"ING PT*. %T". 8! 4 . ' 9% * &

. ' 9% $ 21 Nov 2014 " 1 ! ' : '!;0

4< $ &

Penn an !rs =0

' $> ?+ ! '( 0 $ 0 @A & $ 40 "( $


7/13

I ( ) Bengali


FIN:G2138708N

*06376745-200814*

"0 " 6 ' :+ 0 $ '.

Q www%!o!%gov%sg + E " & &'lik (ervies ) For!s *

Passes * Work Per!it for Foreign Workers * Work Per!it +ali,ity 'hek via Work Per!it -nline.

O / 4$122 R '" D '. "+ $&

4 ! # !0 * " &

)


8/13

I ( ) Bengali


FIN:G2138708N

E XX 0 1 '. 2 @ *

. ' ) 41 :+,NSTR$+TI,N ),R#*R $(IAN )ANG

G*N*RA% +,NTRA+T,R TRA"ING PT*. %T". &

B , +4 ' ) %V ! )Y ) %V & ' $0 . '. ! '+ ) "J $ &

' Z $ 3( ) 'Q )Y =[ ' , & '( =[ 47 17 \ 7 , ."!7 30 '. A 40 07 W ! $ '. ,! Cmom.o;.s Page $ of $


9/13

APPLICATION FOR A WORK PERMIT

USER ID :354740- USER NAME :QIAN WANG GENERALCONTRACTOR & TRADING PTE.LTD.

WPNO :0 6376745- DOA :20/08/204COMPAN! CP" SU#MISSION NO. :20070$80G - PTE - 0 DATE / TIME :28 A%%'( 204 0$:44 PM

PART I PERSONAL PARTICULARS OF FOREIGN EMPLOYEE *06376745-20082014*NAME :)ASAN MD "A*)RULDATE O" #IRT) :30/03/$88NATIONALIT! :#ANGLADES)I PLACE O" #IRT) :#ANGLADES)

STATE / PRO+INCE, ( 1 1( ' / (1( : STATE / PRO+INCE O"#IRT) :

MARITAL STATUS :SINGLE SE9 :MALERACE :#ANGLADES)I RELIGION :MUSLIMMALA!SIAN OLD IC NO. : COLOR O" IC :PRC IC NO. : MALA!SIAN NEW IC NO. :TRA+EL DOCUMENT NO. :AA536777 "IN :G238708NTRA+EL DOCUMENT E9PIR!DATE

:5//206 TRA+EL DOCUMENT T!PE :PASSPORT

EDUC :SECONDAR! ENDORSEMENT T!PE :NOT IN SINGAPORE!EARS O" WOR*ING E9P : NAME O" INSTITUTION :E9PIR! DATE O" LT+P :CATEGOR! O" WOR*ERSLT+P / DP

:

PARTICULARS OF EMPLOYMENT

EMPLO!MENT STATUS :EMPLO!EE NAME O" EMPLO!ER :QIAN WANG GENERALCONTRACTOR & TRADING PTE.LTD.

OCCUPATION CODE :$3300AOCCUPATION DESCRIPTION :CONSTRUCTION WOR*ER

)OUSING PRO+IDED :!ES

#ASIC MONT)L! SALAR! :S;$00

"I9ED MONT)L! ALLOWANCES :NO "I9ED MONT)L!DEDUCTIONS

:NO

"I9ED MONT)L! ALLOWANCES :S;0 )OUSING DEDUCTION :S;0"I9ED MONT)L! SALAR! :S;$00 "OOD DEDUCTION :S;0

MONT)L! SALAR! A"TERTA*ING INTO ACCOUNT "I9ED

MONT)L! ALLOWANCES ANDDEDUCTIONS

:S;$00

+ETTING AUT)ORIT! : SUPPORT "ROM +A< :TRAINING DURATION :SUPPORT AUT)ORIT! :

PARTICULARS OF FOREIGN EMPLOYEE'S SPOUSEWOR*ER MARRIED TO SC / SPR :

NAME :DATE O" MARRIAGE : PLACE O" MARRIAGE :DATE O" #IRT) : NATIONALIT! :RESIDENTIAL STATUS : COLOR O" IC :IC NO. =SC / SPR> : DATE O" SPR ISSUANCE :MALA!SIAN OLD IC NO. : MALA!SIAN NEW IC NO. :

PASSPORT NO. :

PART I (A) CONDITIONS OF WORK PERMIT FOR FOREIGN EMPLOYEE

DECLARATION BY FOREIGN EMPLOYEE

I ? (( -=> I @ %'(11 ( ? ?1(1' 1 ,1B ( ' '? ( E1( 1 "1 M1, =W1B

P'''> R%(1' ?.$A @ ( ,,,.1.1@.'.=> I have / have never ?1@?( ?1%( 1 '(( 1 ? 1? = ? ' 1@ ('>

*Delete accordingly=?> T 1(1 ' '( 1%( PART I' (% ?1?( (( 1?%(' I @ '%(( '%1( 1 (' ?(1 1

W1B P( (% ?1' 1 ( %((? 1?%('.

S(% 1 "1 E1

D(: =DD-MM-!!!!>

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10/13

WPNO : 0 6376745- DOA : 20/08/204

PART II PARTICULARS OF COMPANY OR EMPLOYER

MAIN CONTRACTOR / S)IP!ARD :

CP" SU#MISSION NO. O" MAIN S)IP!ARD / MAIN CONTRACTOR :

NAME :QIAN WANG GENERAL CONTRACTOR & TRADING PTE. LTD.

ADDRESS :200 FALAN SULTAN04-$ TE9TILE CENTRESINGAPORE $$08

#USINESS ACTI+IT! :GENERAL CONTRACTORS =#UILDING CONSTRUCTIONINCLUDING MAFOR UPGRADING WOR*S>

CP" SU#MISSION NO. :20070$80G - PTE - 0 REGISTRATION NO.=ACRA>

:20070$80G PRIOR APPRO+ALRE" NO.

:PP5786700

TELEP)ONE : "A9 :6760487

TEMPORAR! PERMIT ISSUED AT T)E TIME O" SU#MISSION< : NO

C!ANGE OF EMPLOYERIS CONSENT GI+EN "OR TRANS"ER< :NAME O" CURRENT EMPLO!ER :

PART II (A) DECLARATION BY EMPLOYER

WP NO. : 0 6376745- DOA : 20/08/204NAME O" WOR*ER : )ASAN MD "A*)RULCP" SU#MISSION NO. : 20070$80G - PTE - 0NAME O" EMPLO!ER : QIAN WANG GENERAL CONTRACTOR & TRADING

PTE. LTD.

CONDITIONS AND REGULATORY CONDITIONS OF WORK PERMIT FOR EMPLOYER

I ? (( I %(1' (1 ( 1 1 ( 1 1 PART I (1 ( 11, -

=> I @ %'(11 ( ? ?1(1' %(1 ?1(1' 1 ,1B ( ' '? (E1( 1 "1 M1, =W1B P'''> R%(1' ?.$A @ ( ,,,.1.1@.'.

=> T 1 ?1'(' 1 ( %1' 1 '''' (' ?(1 1 ( G1@( 1 S1 '((%(1%(1(' (1 (1 1( 1 @ 1(1 ,( '1 1'(1 1 1( '1%? %( (1( ' 1 1(1 ( 1( (1 ( G1@( 1 S1 '((%(1 %(1(' %(1' ('(1.

=?> T 1 ' , (( ( C1(1 1 W1B P''' %'' (' C( P1@( "% ?1(%(1 1(1 (1( ( % 1 1? ,1B' 1 ( 1 ? ( ( % 1 1 1' ((( 1. T 1 ' '% (( (' C( P1@( "% ?1(%(1 ?1 1 (' ' 1H% % ( C( P1@( "% A?( =C.36> 1 ?(' @ ?( 1 ( '( 1 S1 ,1' 1 ( 1 ( ( 1( ?1(%(1 ( '? ,. T 1 ' @1%( CP" ?1(%(1' 1 (1% '( CP" S%''1 N% =CSN>.

=> T 1 ' '% (( ( 1 1 % %'(' ( ?1((' 1 PART I (( ( ,' ' (1 1.

=> T 1 ha" / ha" n#$%' ( '@?' 1 E1( A? ' S1 1 ( ?%(( / 1?(1 1 ,1B ( 1 (' 1 1.=I ?: E1( A? L?? N1: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ. P' '1 '% (( (1( ? ?1(' PART III>.

*Deleteaccordingly

=> T 1(1 ' '( 1%( PART II ' ( 1 ' (1 (1 (' ?(1 (1 ( '(1 B1, (% ?1?( (( 1?%(' '%(( '%1( 1 (' ?(1 ' (1 (1 (' ?(1 (% ?1' 1 ( %((? 1?%('.

N 1 A%(1' R'((@:

NRIC:

D'(1:

S(%:

O'(1 S(:

D(: =DD-MM-!!!!>

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11/13

PART III PARTICULARS OF SINGAPORE EMPLOYMENT AGENCY AND DECLARATION OF FEES PAYABLE

IS A SINGAPORE EMPLO!MENT AGENC! USED "OR T)E PURPOSES O" T)IS APPLICATION "OR )ASAN MD "A*)RUL =WPNUM#ER: 0 6376745-> : NO

NAME O" SINGAPOREEMPLO!MENT AGENC!

: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ LICENCE NO. : JJJJJJJJJJJJJJJ

OPERATING ADDRESS : JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ TELEP)ONE : JJJJJJJJJJJJJJJ

FEE PAYABLE TO SINGAPORE EMPLOYMENT AGENCY

AN! "EES PAID #! T)E EMPLO!EE TO T)E SINGAPORE EMPLO!MENT AGENC!:

"EES "OR COSTS INCURREDO+ERSEAS

: S;

AGENC! "EE : S;

PART III (A) DECLARATION BY SINGAPORE EMPLOYMENT AGENCY =? ( 1 ' %' ( '@?' 1 S1 E1( A?. I 1 ( 1 E1( A? ' %' ' 1,1 (1 ?(1 '(' 1 MOM

,'(>

I ? (( -

=> I ( %' ( E1( A? '1 (' ?(1.

=> I @ K ( ?1((' 1 ( ?(1 ( ? ?1(1' %(1 ?1(1' 1 ,1B ( ''? ( E1( 1 "1 M1, =W1B P'''> R%(1' ?.$A (1 ( 1 1 ( %(1'1? 1 ( 1.

=?> T 1(1 ' '( 1%( (' ?(1 ' I @ (1 (1 (' ?(1 ' (1 ( '( 1 B1, (% ?1?( (( 1?%(' I @ '%(( '%1( 1 (' ?(1 ' I @ (1 (1 (' ?(1 (% ?1' 1 ( %((? 1?%('.

N 1 E1( A? P'1:

E1( A? P'1 N%:

S(%:

E1( A? S(:

D(: =DD-MM-!!!!>

PART I%

TO BE COMPLETED BY CURRENT EMPLOYER IF WORK PERMIT !OLDERNAMED ABO%E IS APPLYING FOR A C!ANGE OF EMPLOYER

CONSENT TO TRANS"ER "OREIGN EMPLO!EE

I JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ (1 ' )ASAN MD "A*)RUL 0 6376745-

=N 1 C1> =N WP N% 1 W1B >

(1 ( 1'?(@ 1 QIAN WANG GENERAL CONTRACTOR & TRADING PTE. LTD.

= N 1 P1'?(@ C1 >

?%' JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ.

P ( 1%(?1 1 ( ?(1 I %(B '1'(' 1 ( 1( 1 ( ' 1 , K( ' / ,1B ( = ?''>. I ( ?(1 ' 1( 1@ I 1 1( ,' (1 ?1(% ' / 1( I , (( ('1.

N 1 D?(:

NRIC:

D'(1:

S(%:

O'(1 S(:

D(: =DD-MM-!!!!>

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12/13

*06376745-19880330*

*06376745-19880330*

Casino Self-Exclusion Application FormFor Foreigners

USE BLOCK LETTERS

Personal Particulars

Name (as in Pass!"#$ Pass!"# N!

%&S&N ' )&K%RUL &&5361777

a#e ! Bi"#+ (,,mm....$ )/N N! (i aaia2e$

30031988 138708N

Na#i!nai#. en,e"

B&NL&ES%/ '&LE

Contact Information (of Employer in Singapore If available)

&,,"ess

00 &L&N SULT&N04-19 TET/LE CENTRES/N&PORE 199018

C!n#a# N! Emai (i aaia2e$

96710 N&

):POL610 Pa;e 1 !


13/13

*06376745-19880330*

*06376745-19880330*

eclaration for Applicant (Please !ic" All #oxes)

< / =. =n,e"s#an, #+e !n#en# an, ="!se ! #+is Casin! Se-E>=si!n aia#i!n? an,#+a# #+e ee# ! #+is aia#i!n is #+a# / @i 2e e>=,e, "!m en#e"in; #+e asin!s inSin;a!"e / ="#+e" =n,e"s#an, #+a# #+is e>=si!n s+a #aAe ee# imme,ia#e. =!n m.s=2missi!n ! #+is aia#i!n #! #+e Na#i!na C!=ni !n P"!2em am2in; / am as! =.a@a"e #+a# i / +!!se #! en#e" !" "emain !n #+e Casin! "emises a#e" s=2mi##in; #+eaia#i!n an, #aAe a"# in an. ;amin; a#ii#ies? an. @innin;s ai, !" a.a2e #! me s+a2e !"ei#e,? an, / @i n!# 2e a2e #! a. an. aim #! #+e sai, @innin;s

< / ,ea"e #+a# #+is aia#i!n is ma,e !=n#a"i.? @i#+!=# an. !"e !" !e"i!n !" =n,e"an. ,="ess

< / =n,e"s#an, #+a# m. aia#i!n !" Se-E>=si!n @i s#a. in !"e in,eini#e.? =ness /a. #! "e!Ae "!m NCP a#e" a e"i!, ! a# eas# 1 .ea" / as! =n,e"s#an, #+a# NCP@i "!i,e m. name an, a"#i=a"s #! #+e "eean# a;enies an, !";ania#i!ns =n,e"Se#i!n 168(3$ ! #+e Casin! C!n#"! #! in!"m #+em ! m. Se-E>=si!n

form sol controller

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