fw wp appln form

7/28/2019 FW WP Appln Form

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Work Pass Division18 Havelock RoadSingapore 059764Tel: 6438 5122http://[email protected]

Work Permit Application Form for A ForeignWorker/Trainee in Non-Domestic Sector

This form may take you 15 minutes to fill in.You will need the following information to fill in the form:

1. For Foreign Worker

The workers passport number The workers Work Permit number (if applicable) The workers Identity Card (IC) number (if he / she is Malaysian or from Peoples Republic of China) The workers spouse IC number (if he / she is married to a Singapore Citizen or Singapore Permanent

Resident)

2. For Employer

The companys CPF Submission No.(CSN)**CSN will replace Employer Reference Number (CPF Account Number) from 1 J anuary 2009. Forcompanies / organisations, CSN consists of your Unique Entity Number (UEN) +CPF Payment Code. Formore information, please refer to www.cpf.gov.sg or call CPF Call Centre at 1800-227-1188.

The prior approval reference number (if applicable)


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Work Permit Application Form for a F oreign Worker/Trainee in Non-Domestic Sector

A) Please tick here if this is a Work Permit application for a Performing Artiste (Public EntertainmentLicencees).

B) Please fill in the companys CPF Submission Number If the company has more than one CPF Submission Numberunder the same companys Registration Number (ACRA) for the same business activity, please write to the WorkPass Division (WPD) to request for the linking of the CPF accounts in order to increase the companys quotaentitlement for Foreign Workers.

CPF Submission Number - -

C) If the company has obtained a Prior Approval for recruiting Foreign Workers, please fill in the Prior Approvalreference number:

Prior Approval reference number

D) If the Foreign Worker is a Malaysian, please fill in his/her Identity Card Number(s):

Workers old Malaysian Identity Card number

Workers new Malaysian Identity Card number - -

E) If the Foreign Worker is a current Work Permit holder or an ex-Work Permit holder, please fill in his/her WorkPermit number:

Work Permit number -

For Official Use:

DSN DOA

DEPT WP SK

NRIC No./FIN


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Key Information:

1. An employer who wishes to employ a foreigner (except Singapore Permanent Resident and Dependants Pass holderunder the Employment Pass scheme), needs to submit a Work Permit application for the foreigner.

2. A foreigner must be at least 16 years old at the time of the Work Permit application.

3. A non-Malaysian worker must not be in Singapore at the time of the Work Permit application. He can enter Singaporeonly after the employer has obtained the In-Principle Approval letter and furnished a Security Bond of SGD$5000.

4. All employers who employ foreign workers are required to pay the monthly foreign worker levy by Inter-Bank GIRO.

5. If the employer has not made prior arrangements for payment of foreign worker levy by GIRO, he has to complete theattached GIRO Application Form and mail it to the CPF Board. The employer is advised to sign up for GIRO early asthe processing of GIRO applications takes about 4 weeks. The GIRO deduction for levy due each month will be madeon 17th of the following month. The employer is required to maintain sufficient funds in his bank account for the GIROdeduction, failing which interest for late payment will be charged. The deduction will cease once the Work Permit iscancelled.

6. The employer should continue to pay the levy using his current payment mode to the CPF Board until his GIROapplication is approved by the bank. The CPF Board will inform the employer when the GIRO deduction of the levywill take effect. The employer does not have to pay any fee for GIRO application.

Documents to be attached to this completed Application Form:

a) A photocopy of the Foreign Workers Passport/Travel Document that shows his particulars including anyamendments made.

b) A photocopy of the Foreign Workers Educational Certificates [e.g. GCE O Level, Sijil Pelajaran Malaysia (SPM) orequivalent] if his educational level is Sec 4 or above. If the workers SPM Result Slip is submitted in lieu of the originalcertificate, the worker/employer is required to present the original SPM educational certificate at the WPD forverification 12 months after the issue of the Work Permit. The WPD will inform the worker/employer accordingly whenit is required to do so. If the worker/employer is unable to present the original educational certificate when required,the Work Permit will be revoked. The worker may also be placed on future employment ban.

c) A photocopy of the Foreign Workers Identity Card (applicable to all Malaysian workers and the group of PRCworkers who have not obtained their Passports).

d) For companies that are currently not employing any Work Permit holders, please attach:

i) A photocopy of the Company/Business Profile from the Accounting and Corporate Regulatory Authority(ACRA)

ii) A photocopy of the Companys most recent past 3 monthly CPF Contribution Statement(s) for its localworkforce

iii) A photocopy of the Food Establishment Licence issued by the National Environment Agency (NEA)(applicable to food establishments)


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Part 1 Information on Foreign Worker (Please the appropriate )1A: Particulars of Foreign Worker

Name (as in the Identity Card/Passport) in BLOCK LETTERS. Please underline the surname:

Date of Birth (DD-MM-YYYY): - - Sex: 1 Male 2 Female

Marital Status: 1 Single 2 Married 3 Divorced 4 Separated (please attach Divorce Certificate) 5 Widowed

Passport/Travel Document Number:

Expiry Date of Travel Document/Passport Number (DDMM-YYYY): - -

PRC Workers Identity Card Number:

Type of Present Endorsement in Travel Document/Passport:

0 Current Work Permit holder 2 Short Term Visit Pass (3 months or less)

3 Long Term Visit Pass (more than 3 months)Please indicate the Expiry Date (DD-MM-YYYY) and attach a copy of the Long Term Visit Pass (Green) Card

- -

4 Special Pass

5 Dependants Pass 6 Not applicable (Foreign worker is not in Singapore)

If worker is holding a Long Term Visit Pass/Dependants Pass, please indicate the category as listed below:(Please select one main category)Worker is: 1 Spouse of a Singapore Citizen/Permanent Resident (PR)

2 Child of a Singapore Citizen/PR 3 Spouse of an Employment Pass Holder

4 Child of an Employment Pass Holder 5 Spouse of a S Pass Holder

6 Child of a S Pass Holder

7 Parent of a Singapore Citizen/PR or Employment Pass Holder

8 Mother/Grandmother of a foreigner who is studying in Singapore

9 Holding an Employment Pass Eligibility Certificate (EPEC) 10 Others

Place of Birth: SG Singapore MY Malaysia Others (Please specify)

State/Province of Birth:

Citizen of: MY Malaysia ID Indonesia TH Thailand Ph Philippines IN India

LK Sri Lanka BD Bangladesh MO Macau HK Hong Kong

BU The Republic of the Union of Myanmar

Others (Please specify) _____________________________________________

State/Province where the foreigner obtained his/her nationality:

Race: 0 Caucasian 1 Malay 3 Chinese 4 Indian

5 Others (Please specify) ________________________________________________________________

Type of Identity Card: 1 Malaysia Pink 2 Malaysia Blue 9 Others

Religion: B Buddhist C Christian F Free Thinker H Hindu M Muslim

O Others S Sikh U Unknown


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Highest Qualification Obtained:

00 No education

15 Below Primary 6 (Below Form I). Please state the Primary Level: ____________________________________

16 Completed Primary 6 (Form I)

21 Secondary 1 (Form II)

22 Secondary 2 (Form III)

23 Secondary *3 / GCE N Level (Form IV)

24 Secondary 4 (Form V)

2401 GCE O Level (SPM). Please state the number of O Level Passes and attach a copy of the

certificate

2601 *GCE A Level (STPM) / Middle High School / Senior High School. Please state the number of A Level

Passes and attach a copy of the certificate

30 Diploma. Please state Diploma obtained, Name of Institution and Years of Working Experience in the spacebelow. Please attach a copy of the certificate(s).

Type of Diploma/Trade Certificate Obtained: Year Obtained:

Name of Institution:

Years of Working Experience:

40 Degree. Please state Degree obtained, Name of Institution and Years of Working Experience in the space below.Please attach a copy of the certificate(s).

Type of Degree/Trade Certificate Obtained: Year Obtained:

Name of Institution:

Years of Working Experience:

For foreign students who wish to undergo job attachment as part of course requirements, please indicate the type of

educational institution: Overseas Local

1B: Particulars of Foreign Workers Spouse (Applicable to Foreign Worker who is married to a SingaporeCitizen or Singapore Permanent Resident)

Spouses Name:

Spouses Date of Birth (DD-MM-YYYY): - -

Nationality (please specify):

Residential Status: Singapore Permanent Resident Non-Singapore Permanent Resident

Spouses Singapore Identity Card Number: S

Spouses Date of Singapore Permanent

Residency Issued (DD-MM-YYYY): - -

Type of Spouses Identity Card: 3 Singapore Blue 4 Singapore Pink

Date of Marriage (DD-MM-YYYY): - -

Place of Marriage: 1 Malaysia 2 Singapore 3 Others (Please specify):

1C: Particulars of Foreign Workers Parents (Applicable to Religious Organisations Only)

Relationship Name

Nationality/

ResidentialStatus

Identity Card/

Passport/WorkPermit Number

Date ofBirth Current Countryof Residence

Father

Mother

*Delete where inapplicable.


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Part 2 Information on Employer (Company/Firm) and Job Offered2A: Particulars of Employer

Name of Company/Firm:

Address of Company/Firm:

Postal Code:

Telephone: Facsimile:

2B: Foreign Workers Occupation if given a Work Permit

For Official Use

2C: Foreign Workers Main Duties if given a Work Permit (Please describe)

2D: Foreign Workers Basic Salary if given a Work Permit: S$ per month.

2E: Foreign Workers Employment Status in the Company/Firm

1 Employee (includes Foreign Trainee) 2 Partner/Sole Proprietor/Director 3 Others (Please specify): _____________________________________________________________________

2F: For Performing Artiste1

or Training Work Permit, please state the duration of Work Permit:

*Days/Weeks/Months

*Delete where inapplicable.

1The Work Permit application for Performing Artiste is only applicable for company with Public EntertainmentLicence.


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2G: Declaration By Employer (Company/Firm)I hereby declare that I am authorised to bind the employer for the foreigner named in PART 1 to the following:

1. I have read and understood the applicable conditions and regulatory conditions of work permit, as specified in theEmployment of Foreign Manpower (Work Passes) Regulations c.91A, available at the MOM counters or atwww.mom.gov.sg.

2. The employer consents, for the purpose of assessing this application, for the Government of Singapore and statutory

authorities thereof to obtain from and verify information with any person, organisation or any other source; and further,to the release of all information thereby obtained to the Government of Singapore, statutory authorities and authorisedagents thereof.

3. The employer is aware that the Controller of Work Passes uses its Central Provident Fund contribution information todetermine the number of local workers employed by the employer hence determining the number of foreignemployees that it may employ. The employer has ensured that its Central Provident Fund contribution record ofpayments as employer required under the Central Provident Fund Act (Cap.36) only reflects every citizen orpermanent resident of Singapore who is employed by the employer and at the appropriate contribution rate prescribedby law. The employer has made any voluntary CPF contributions only through a separate CPF Submission Number(CSN).

4. The employer has / has not* used the services of an Employment Agency based in Singapore for the recruitment andapplication of a work permit for this foreign employee.

(If applicable: Employment Agency Licence No: ___________________________________. Please also ensure thatthe employment agency completes PART 3.)

5. The information as set out in PART 2 and any appeals the employer has made in relation to this application are, to thebest of my knowledge, true and correct; and that all documents submitted in support of this application and anyappeals made in relation to this application, are true copies of the authentic documents.

Name of Authorised Representative Designation

NRIC Number of Authorised Representative **Signature of Authorised Representative

Date Organisation Stamp

Part 3 Declaration by Employment Agency(Applicable if the employer has used the services of an Employment Agency. If more than one Employment Agency isused, please complete the attached additional declaration sheets.)

Name of Employment Agency:

Licence Number:

Registered Address:

I hereby declare that-

1 I, the undersigned, am the Employment Agency personnel handling this application.

2 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 foreignemployee and the authorised officer of the employer.

3 The information as set out in this application and any appeals I have made in relation to this application is, to thebest of my knowledge, true and correct; and that all documents I have submitted in support of this application andany appeals I have made in relation to this application, are true copies of the authentic documents.

Name of Employment Agency Personnel:

Employment Agency Personnel Number:

Date & Signature of Employment Agency Personnel Employment Agencys Stamp

* Delete where inapplicable.** Employer refers to the Sole-Proprietor or a Partner in a Partnership. For a Pte Ltd Company, it refers to a Director or a Manager.


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Part 4 Information on Shipyard (Applicable to Employers in the Marine Industry)If you are holding a Shipyard Licence issued by the Occupational Safety Department, Ministry of Manpower, pleaseindicate:

Shipyard Licence Number - - -

If you are NOT holding a Shipyard Licence issued by the Occupational Safety Department, Ministry of Manpower, the

Shipyard is required to complete the following section to confirm that the Contract is awarded to your company:

I, (Name) , NRIC Number

Designation

of the (Name of Shipyard)

CPF Submission Number: - -

Support the application made by (Name of *Resident/Common Contractor)

The Shipyard Licence issued to my company is - -

Signature Date Companys/Shipyards Stamp

*Delete where inapplicable


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This Form is updated on 01 Apr 2013. 10WPCM 020

Work Pass Division 18 Havelock RoadSingapore 059764

Tel: 6438 5122http://[email protected]

Particulars of Worker and Employer

Name of Worker:

Passport No.: Nationality:

CPF Submission No.:

Name of Employer:

Particulars o f Employment Agency

Name of Employment Agency:

Licence Number:

Registered Address:

Telephone:

Declaration by Employment Agency

I hereby declare that

1 I, the undersigned, am the Employment Agency personnel handling this application.

2 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.

3 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 thisapplication 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 Personnel Number:

Date & Signature of Employment Agency Personnel Employment Agencys Stamp

*Delete where applicable

Addit ional Declarat ion By Employmen t Agency Based In SingaporeThis form may take you 5 minutes to fill in.You will need the following information to fill in the form:

The workers passport number The workers Work Permit number The companys CPF Submission No. The name of employer The name of employment agency The employment agencys licence number


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Work Permit Appl icat ion For m for a Foreign Worker/Trainee in Non-Domest ic Sector

WPCM 001

FIRST SCHEDULECONDITIONSANDREGULATORYCONDITIONSOF IN-PRINCIPLE

APPROVAL FORAWORK PERMITPART III

CONDITIONSTOBECOMPLIEDWITHBY EMPLOYEROF FOREIGNEMPLOYEEWHO ISNOTDOMESTICWORKER,WHO IS ISSUEDWITH

IN-PRINCIPLEAPPROVAL FORWORK PERMIT1. The employer shall be responsible for and bear the costs of the upkeep

(including the provision of food andmedical treatment) andmaintenance of theforeign employee in Singapore.

2. Theemployershallalsobearanymedicalexpensesincurredbytheforeignemployee for anymedical examination required by theController.3. Theemployershallregisterorupdatetheforeignemployeesaccommodation

addressinsuchformormannerastheControllermaydeterminepriortoissuanceof thework permit.

4. The employer shall ensure that the foreign employee has acceptableaccommodation. Such accommodationmust be consistent with any written law,regulation,directive,guideline,circular or other similar instrument issued by theGovernment.

5. An employer shall not demand or receive any sum or other benefit froman employment agency or any other person in connection with the employmentor change in employment of a foreign employee.

6. If the foreign employee dieswhile in Singapore,the employer shall(a) bear the cost of either

(i) burial of the body in Singapore;(ii) cremation of the body in Singapore and return of the ashes to

the country of origin;or(iii) return of the body to the country of origin,

with the foreign employees family deciding on burial, cremation orreturn of the body;

(b) bear the cost of returning the foreign employees belongings to theforeign employees family;and

(c) paytotheadministratorsoftheforeignemployeesestateanyoutstandingsalaries ormoneys due from the employer to the foreign employee.

7. Subject to paragraph 8, the employer shall repatriate the foreignemployee to the international port of entry that affords reasonable access to theforeign employees hometownwithin the foreign employees home country if thein-principle approval for the foreign employee expires or is cancelled or revokedandiftheemployeeisnotearlieremployedbyanotheremployer.Intheeventofany dispute about the international port of entry to which the foreign employeeshallberepatriated,thedisputeshallbereferredtotheController,whosedecisionshall be final.

8. The employermay repatriate the foreign employee to a destination otherthan that specified in paragraph 7

Important Note:

Please read Part 3 and 4 of the First Schedule and Part 3, 4, 5 and 6 of the Fourth Schedule and detach them foryour retention.


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12


WPCM 001

FIRST SCHEDULE continued(a) if the foreign employee so requests,and the Controller is informed by

theemployeroftheemployersintentiontodoso,beforetherepatriationoccurs;or

(b) if theController so determines.9.

The

employer

shall

bear

the

costs

associated

with

repatriating

the

foreign

employeeatanytimeexceptwheretheControllerpermitsotherwise.Theemployershall ensure that all outstanding salaries ormoneys due from the employer tothe foreign employee have been paid before the foreign employees repatriation.

PART IVREGULATORYCONDITIONSTOBE COMPLIEDWITHBY EMPLOYEROF FOREIGNEMPLOYEEWHO ISNOTDOMESTICWORKER,WHO IS

ISSUEDWITH IN-PRINCIPLEAPPROVAL FORWORK PERMIT1. The employer shall take all necessary steps to ensure that the foreign

employees copy of the in-principle approval letter,in its entirety as furnished bytheMinistry ofManpower, is sent to the foreign employee within a reasonabletime prior to the foreign employees departure for Singapore.The employer willbe regarded to have taken all necessary steps

(a) where the employer does not engage the service of an employmentagency,if the employer can provide sufficient evidence that the foreignemployees copy of the in-principle approval letter, in its entirety asfurnished by theMinistry ofManpower, has been sent to the foreignemployee;or

(b) where the employer engages the services of an employment agent, ifthe employer can provide sufficient evidence that(i) the employer instructed the employment agency to send the

foreignemployeescopyofthein-principleapprovalletter,initsentiretyasfurnishedbytheMinistryofManpower,hasbeensentto the foreign employee;or

(ii) theemploymentagencyinformedhimthattheemploymentagencywillsendtheforeignemployeescopyofthein-principleapprovalletter,in its entirety as furnished by theMinistry ofManpower,to the foreign employee.

2. Theemployershallpurchaseandmaintainmedicalinsurancewithcoverageof at least $15,000 per 12-month period of the foreign employees employment(or for such shorter period where the foreign employees period of employmentislessthan12months)fortheforeignemployeesin-patientcareanddaysurgeryexcept

as

the

Controller

may

otherwise

provide

by

noti

fi

cationin

writing.

Where

theemployerpurchasesgroupmedicalinsurancepolicyforhisforeignemployees,the employer shall not be considered to have satisfied the obligation under thiscondition unless the terms of the employers groupmedical insurance policy aresuch that each and every individual foreign employee is concurrently covered tothe extent required under the conditions in this Part.

3. The employer shall send the foreign employee for amedical examinationbyamedicalpractitionerregisteredundertheMedicalRegistrationAct(Cap.174)as andwhen directed by theController.

4. If the foreign employee goesmissing, the employer shall inform theControllerwithin7daysaftertheemployerbecomesawareoftheforeignemployeegoing

missing.


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WPCM 001

FIRST SCHEDULE continued5. IftheforeignemployeedieswhileinSingapore,theemployershallinform

the Controller within 12 hours after the employer becomes aware of the foreignemployees death.

FOURTH SCHEDULECONDITIONSANDREGULATORYCONDITIONSOFWORK PERMIT

PART IIICONDITIONSTOBECOMPLIEDWITHBY EMPLOYEROF FOREIGNEMPLOYEEWHO ISNOTDOMESTICWORKER,WHO IS ISSUEDWITH

WORK PERMITUpkeep,maintenance and well-being

1. The employer shall be responsible for and bear the costs of the foreignemployees

upkeep

(excluding

the

provision

of

food)

and

maintenance

in

Singapore.

Thisincludestheprovisionofmedicaltreatment,exceptthattheforeignemployeemaybemadetobearpartofanymedicalcostsinexcessoftheminimummandatorycoverage if

(a) thepartofthemedicalcoststobepaidbytheforeignemployeeformsnotmore than 10%of the employeesmonthly salary;and

(b) the foreign employees agreement to pay part of anymedical costsis stated explicitly in the foreign employees employment contract orcollective agreement.

2. Theemployershallprovidesafeworkingconditionsandtakesuchmeasuresasarenecessarytoensurethesafetyandhealthoftheforeignemployeeatwork.Theemployershallalsoensuretheforeignemployeehasacceptableaccommodation.Suchaccommodationmustbeconsistentwithanywrittenlaw,regulation,directive,guideline,circular or other similar instrument issued by theGovernment.

3. Theemployershallpaythesalary(includingallowances)duetotheforeignemployee not later than 7 days after the last day of the salary period.Any salaryperiod agreed between the employer and the foreign employee shall not exceedonemonth.

4. Exceptwheretheforeignemployeeisonno-payleaveoutsideSingapore,the employer shall, regardless of whether there is actual work for the foreignemployee,and subject to any written law,pay the foreign employee no less thanthe basic salary amount declared in the application for a work permit submittedto theController.

5. The employer shall bear anymedical expense incurred by the foreignemployee for anymedical examination required by theController.

6. Theemployershallregisterorupdatetheforeignemployeesaccommodationaddress in such form ormanner as the Controllermay determine,within 5 daysoftheforeignemployeemovingtoanewaddress.Unlessspecified,thisconditionapplies as long as the foreign employee is not repatriated.

7. Theemployershallnotretainpossessionoftheforeignemployeesoriginalworkpermitandvisitpassandshallallowtheforeignemployeetoretainpossessionof the foreign employees work permit and visit pass.

8. The employer shall inform the Controller of any change to the businessaddressstatedintheworkpassapplicationformwithin14daysaftersuchachange.


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WPCM 001

FOURTH SCHEDULE continued9. If the foreign employee dieswhile in Singapore,the employer shall(a) bear the cost of either

(i) burial of the body in Singapore;(ii) cremation of the body in Singapore and return of the ashes to

thecountry

of

origin;

or

(iii) return of the body to the country of origin,with the foreign employees family deciding on burial, cremation orreturn of the body;

(b) bear the cost of returning the foreign employees belongings to theforeign employees family;and

(c) paytotheadministratorsoftheforeignemployeesestateanyoutstandingsalaries ormoneys due from the employer to the foreign employee.

10. Theemployershallnotdemandorreceiveanysumorotherbenefitfroman employment agency or any other person in connection with the employmentor

change

in

employment

of

a

foreign

employee.

Cancellation ofworkpermitandvisitpassanddutiesbeforeoruponrepatriationof foreign employee

11. TheemployershallreturntheworkpermitandvisitpasstotheControllerwithin 7 days after the cancellation of thework permit.

12. Subject to paragraph 13, the employer shall repatriate the foreignemployee to the international port of entry that affords reasonable access to theforeign employees hometownwithin the foreign employees home countrywhentheforeignemployeesworkpermitorvisitpassexpiresoriscancelledorrevokedand if the foreign employee is not earlier employed by another employer.In theevent of any dispute about the international port of entry to which the foreignemployee shall be repatriated, the dispute shall be referred to the Controller,whose decision shall be final.

13. Theemployermayrepatriatetheforeignemployeetoadestinationotherthan that specified in paragraph 12

(a) if the foreign employee so requests,and the Controller is informed bytheemployeroftheemployersintentiontodoso,beforetherepatriationoccurs;or

(b) if theController so determines.14. Theemployershallbearthecostsassociatedwithrepatriatingtheforeign

employeeatanytimeexceptwheretheControllerpermitsotherwise.Theemployershall ensure that all outstanding salaries ormoneys due from the employer tothe foreign employee have been paid before the foreign employees repatriation.

15. Unless requested by the Controller of Immigration or the ControllerofWork Passes, the employer shall not repatriate the foreign employee whensuch repatriation would frustrate or deny any statutory claim that has been filedor is intended to be filed by the foreign employee for salary arrears under theEmploymentAct (Cap.91) or work injury compensation under theWork InjuryCompensationAct (Cap.354).


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15


WPCM 001

FOURTH SCHEDULE continued16. Theemployershallcontinuetoberesponsibleforandbearthecostsofthe

upkeep(includingtheprovisionoffoodandmedicaltreatment)andmaintenanceof the foreign employee in Singapore who is awaiting resolution and paymentof any statutory claims for salary arrears under the EmploymentAct, or workinjurycompensationundertheWorkInjuryCompensationAct. Theresponsibilityshall

cease

upon

resolution

and

payment

of

the

statutory

claim

or

work

injurycompensation.

PART IVREGULATORYCONDITIONSTOBE COMPLIEDWITHBY EMPLOYEROF FOREIGNEMPLOYEEWHO ISNOTDOMESTICWORKER,WHO IS

ISSUEDWITHWORK PERMITEmployment

1. The employer shall control and supervise the foreign employee. Exceptas provided in paragraphs 6 to 12 of PartV,the foreign employee shall be underthe

employers

direct

employment.

2. Theemployershallnotpermittheforeignemployeetobeemployedbyorcontractedtoanyotherpersonorbusinesstodoworkforthatpersonorbusiness.

3. Theemployershallnotemploytheforeignemployeeineitheranoccupationor a sectorwhich is different from that specified in thework permit.

4. Theemployershallpurchaseandmaintainmedicalinsurancewithcoverageof at least $15,000 per 12-month period of the foreign employees employment(or for such shorter period where the foreign employees period of employmentislessthan12months)fortheforeignemployeesin-patientcareanddaysurgeryexcept as theControllermay otherwise provide by notification in writing.Wheretheemployerpurchasesgroupmedicalinsurancepolicyforhisforeignemployees,the employer shall not be considered to have satisfied the obligation under thiscondition unless the terms of the employers groupmedical insurance policy aresuch that each and every individual foreign employee is concurrently covered tothe extent required under the conditions in this Part.

5. If the foreign employee so requests, the foreign employees salary shallbe paid via direct transfer into the foreign employees bank account in a bankestablished in Singapore.

6. The employer shallmaintain a record of themonthly salary paid to theforeignemployeeandproducetherecorduponrequestbyanypublicofficeractingin his official capacity.

7. The employer shall send the foreign employee for amedical examinationbyamedicalpractitionerregisteredundertheMedicalRegistrationAct(Cap.174)as andwhen directed by theController.

8. If the foreign employee contravenes any of the work permit conditionsapplicable to the foreign employee, and the employer has knowledge of thecontravention, the employer shall inform the Controller and, if required by theController,apply for the cancellation of the foreign employees work permit andvisitpassandcomplywithanyotherinstructionfromtheControllerwithrespectto the contravention.

9. TheemployershallpaythemonthlyforeignemployeelevythroughGeneralInterbankRecurringOrder(GIRO)orbysuchothermeansasmaybeapprovedby theController in writing.

10. If the foreign employee goesmissing, the employer shall inform theControllerwithin7daysaftertheemployerbecomesawareoftheforeignemployeegoingmissing.


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16


WPCM 001

FOURTH SCHEDULE continued11. IftheforeignemployeedieswhileinSingapore,theemployershallinform

the Controller within 12 hours after the employer becomes aware of the foreignemployees death.Cancellation ofworkpermitandvisitpassanddutiesbeforeoruponrepatriationof foreign employee

12. The employer shall apply for the cancellation of the work permit andvisitpassoftheforeignemployeewhentheemploymentoftheforeignemployeeceases.The employer shall inform the Controller in writing within 7 days aftersuch cessation of employment.

13. The employer shall give the foreign employee reasonable notice of theforeign employees repatriation.

PARTVADDITIONALREGULATORYCONDITIONSTOBECOMPLIEDWITH

BY

EMPLOYER

OF

FOREIGN

EMPLOYEE

WHO

IS

CONSTRUCTIONWORKERDefinitions of this Part

1. In this Partconstruction sitemeans any worksite for the purpose of general

building construction or civil engineeringworks;employermeanstheemployerofaforeignemployeetowhomthese

conditions apply.Specified activities

2. The employermay allow the foreign employee to perform any of thefollowing specified activities:Basic construction

(1) erection of any building or part thereof;(2) renovation of any building or part thereof;(3) installation of roofs;(4) waterproofing of basement,roofs andwall;(5) erection of perimeter fences and gates;(6) concrete repairs, which encompass the reinforcement of structures and

jointsthroughtheuseofcement-sand-mortarmix,theinjectionofslurryinto thejoints and cracks in concrete structures, and the application ofspraying of cement-sand-mortar onto surfaces of reinforced concreteworks;

(7) repainting andminor non-structural repair of buildings and existingstructures;

Roadworks

(8) marking and painting of roads;(9) laying asphalt;(10) layingundergroundpipesandthesubsequentreinstatementofroadsand

other surfaces;(11) installationofundergroundcablesandsubsequentreinstatementofroads

and other surfaces;


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17


WPCM 001

FOURTH SCHEDULE continuedSpecialised installation activities

(12) installation of integrated signposting systems for complexes,airports andshopping centres;

(13) installation of cold rooms and ventilation systems;(14) installation ofmicroprocessor or computer based control systems, such

as integrated environmental control, fire and security computer controlsystems,and industrial process control systems;

(15) installationofcommunicationssystem,suchasintercomandwirelessradio,andsecuritysystems,suchasclosedcircuittelevision,securityalarms,carpark security control and card access systems;

(16) installation of central antenna television systems;(17) installation of electrical based systems such as switch gears,transformers

and large generators,including electrical installations in buildings;(18) installation of fire alarms,fire prevention and fire protection systems;(19) installationoflow-tensionandhigh-tensionoverheadwires,andpolesfor

overhead cable and street lighting;(20) installation of lifts,escalators and travelators;(21) installationofmechanicalplant,machinery,powergeneratorsandturbines

systems;

(22) installation of aluminium, steel, steel alloy and timber structuralcomponents,metal scaffolds and curtainwalls;

(23) installationofwaterandgaspipes,sanitaryworksandplumbingfixtures;(24) installationoftrafficlightsystems,andthesetting-upofsignsalongroads;(25) installation of all heavy sheet piles, driven precast reinforced and

prestressed concrete piles,bored cast-in-situ piles and timber piles;Telecommunication works

(26) laying underground telecommunication cables;(27) laying underground pipes for the purposes of telecommunications;(28) wiringworkwithin a building for telecommunication purposes;

Earthworks and soil sampling(29) excavation and earthmoving works;(30) collectionoforremovingearthsamplesforthepurposeofinvestigationand

testingservicestodeterminesoilclassification,strengthandcomposition,and soil stabilisationworks such asmicro piling,ground anchoring,sanddrains and ground grouting;

Landscaping works(31) provisionoflandscapingworks,excludinggrasscuttingandnurseryworks;

Demolition works(32) general demolitionworks;

Marine construction works(33) works involvingmarine piling and the construction ofmarine structures

such asjetties,wharves,sea and river walls;Dredging and land reclamation works

(34) worksinvolvingthedredgingofcanals,riversandoffshorewatersforthepurpose of deepening;

(35) works involving the reclamation of land;


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WPCM 001

FOURTH SCHEDULE continuedCorrosionprotection works

(36) corrosion protection works onmetal surfaces and structures, includingprocesses such as cathodic,anodic and electrolytic protection;

Driving

(37) drivingvehicles

within

construction

sites,

and

shall

not

include

driving

vehicles in the course ofwork on public roads.3. Theemployermayallowtheforeignemployeetoonlyperformthespecified

activitiesatconstructionsites,exceptthatthefollowingfabricationworksmaybeperformed at or outside a construction site:Fabrication works

(a) thefabricationofstructuralprecastconcreteproducts,suchasslabpanels,wall panels,column and beams;and

(b) the fabrication of prefabricated steel reinforcement products, such asbeam cages and pile cap cages.

4. Subjecttoparagraph6,theemployershallnotpermittheforeignemployeeto be employed by or contracted to any other person or business to dowork forthat person or business.

5. Subject to paragraph 8(b), the foreign employee shall be under theemployers direct employment,and the employer shall control and supervise theforeignemployeeandensurethattheforeignemployeeperformsonlythespecifiedactivities.

6. Notwithstanding paragraph 4, an employermay,with the consent of theforeign employee,enter into a contract for the supply of labour with an eligiblethirdpartyengagedintheconstructionindustry,inrelationtoaforeignemployeetowhomtheregulatoryconditionsinthisPartandtheconditionsinPartVIapply.

7. The employer shall verify the eligibility of the third party with theController, through suchmeans asmay be provided by the Controller, beforeentering into any such contract for the supply of labour.

8. Any such contract for the supply of labour shall provide that(a) the third party shall ensure that the foreign employee is not sent to

work for any other person or business;(b) thethirdpartyorhisemployeesshallsupervisetheforeignemployeeand

ensure that the foreign employee performs only the specified activitiesaswork for the third party;

(c) the third party shall notify and update the employer of the particularspecified activities that the foreign employee will perform;

(d) the third party shall notify and update the employer of the worksiteaddress where the foreign employee will work;

(e) thethirdpartyshallproducetheforeignemployeetotheemployeroncetheforeignemployeesservicesarenolongerrequired,andthecontractfor the supply of labour in respect of the foreign employee shall bedeemed terminated;

(f) the third party shall produce the foreign employee to the employer ifthe contract for the supply of labour is terminated by either party,forwhatsoever reason;

(g) the third party shall inform the employer immediately if the foreignemployee goesmissing;and


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WPCM 001

FOURTH SCHEDULE continued(h) the third party shall not retain the original work permit and visit pass

and shall allow the foreign employee to retain the foreign employeeswork permit and visit pass.

9. The employer shall specify in the contract for the supply of labour thatany breach by the third party of the contractual provisions stated in paragraph 8shall be amaterial breach of the contract between them and the contract for thesupply of labour for all foreign employees shall be deemed terminated.

10. Subject to the terms specified in paragraph 8, no other responsibilitiesof the employer as specified in the conditions in this Schedule shall be delegatedto the third party.

11. Thecontractforthesupplyoflabourshallbeinwriting,acopyofwhichshall be retained for a period of no less than 2 years from the date of execution.

12. Where the contract for the supply of labour is terminated or where theforeign employee is no longer working for the third party for any reason, theemployershalltakeallnecessarymeasurestoresumecompliancewithparagraphs4 and 5 as if therewas no contract for the supply of labour.

PARTVICONDITIONSTOBECOMPLIEDWITHBY FOREIGNEMPLOYEE

ISSUEDWITHWORK PERMITEmployment

1. The foreign employee shall work only for the employer specified and inthe occupation and sector specified in thework permit.

2. Wheretheforeignemployeewhoseoccupationasstatedintheworkpermitisthatofadomesticworker,theforeignemployeeshallonlyperformhouseholdanddomesticdutiesandresideattheemployersresidentialaddressorresidentialpremises as stated in the work permit and visit pass.

3. Except for a foreign employee whose occupation as stated in the workpermit is that of a domestic worker, the foreign employee shall reside at theaddressindicatedbytheemployertotheforeignemployeeuponthecommencementofemploymentoftheforeignemployeeandshallinformtheemployeraboutanysubsequent self-initiated change in residential address.

4. The foreign employee shall undergo amedical examination by amedicalpractitionerregisteredundertheMedicalRegistrationAct(Cap.174)asandwhendirected by theController.

5. TheforeignemployeeshallreporttotheControllerasandwhenrequiredby theController to do so.Conduct

6. Theforeignemployeeshallnotgothroughanyformofmarriageorapplytomarry under any law, religion, custom or usage with a Singapore citizen orpermanent resident in or outside Singapore, without the prior approval of theController, while the foreign employee holds a work permit, and also after theforeign employeeswork permit has expired or has been cancelled or revoked.


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WPCM 001

FOURTH SCHEDULE continued7. Iftheforeignemployeeisafemaleforeignemployee,theforeignemployee

shall not become pregnant or deliver any child in Singapore during and after thevalidity period of her work permit, unless she is a work permit holder who isalreadymarried to a Singapore citizen or permanent resident with the approvalof theController.

8. The foreign employee shall not be involved in any illegal, immoral orundesirable activities,including breaking up families in Singapore.

The information is updated on 01 April 2013.


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Central Provident Fund Board79 Robinson RoadCPF BuildingSingapore 068897

Application Form For Inter-Bank GIRO Application

www.cpf.gov.sg [email protected] Call Centre : 1800-227 1188

Contact Us

Postagewillbe

paidby

addressee.For

postingin

Singaporeonly.

BUSINESSREPLYSERVICE

PERMITNO.08383

CENTRALPROVIDENTFUNDBOARD

ROBINSONROADP.O.BOX626

SINGAPORE901226

NFC 001

Information On Application For Inter-Bank GIRO

Your GIRO application will be processed within 21 working days. Letters will be sent to you to inform you of the status and effective date of the GIRO arrangementupon approval.

You may also check the status of your GIRO application at www.cpf.gov.sg. Please maintain sufficient funds in your bank account before the deduction date. If you have set a payment limit on your GIRO deduction with your Bank, please

ensure that the limit is sufficient to pay for all mandatory and voluntary CPF contributions including levy. Some banks may charge an administrative fee for each

unsuccessful deduction. To terminate GIRO, please notify your bank and submit your GIRO termination online via My Requests or complete the Form GIRO/T available at www.cpf.gov.sg

to CPF Board. If you have an existing GIRO arrangement with CPF Board and wish to change your bank account, you will need to complete a new GIRO application form.

For CPF contribution for employee(s): You may email us at [email protected] for queries on CPF Submission Number (CSN), which consists of Unique Entity Number (UEN) and

CPF Payment Code. You are required to submit the CPF contribution details by the 14th of the month (or the next working day if the 14th falls on a Saturday, Sunday or public

holiday) for deduction to take place. Otherwise, a late payment interest will be charged. If the first deduction is unsuccessful, a second deduction will be made 7 calendar days later and a late payment interest will be charged.

For Business Foreign Worker Levy & Domestic Foreign Worker Levy:

Foreign Worker Levy will be deducted automatically from your bank account on the 17th (or the next working day if the 17th falls on a Saturday, Sundayor public holiday). Please do not include the Foreign Worker Levy details in your CP F contribution details.

For further enquiries on levy matters, please call the MOM Work Pass Division at 6438 5122. You need not re-apply for Inter-Bank GIRO when renewing work permit for your foreign workers or changing foreign workers.

For Medisave and/or Voluntary Contributions for self-employed person & Voluntary Contribution for non self-employed person:

To effect deduction of voluntary contributions upon approval of GIRO, please submit your Standing Instruction online via My Requests or complete the Form SI/VC(via GIRO) available at www.cpf.gov.sg.

GIRO deductions will be made on the 25th for a self-employed person or 18th for a non self-employed person (or the next working day if the deduction date falls on

a Saturday, Sunday or public holiday).

8295_CPF_App_Interbank_Giro_NFC001.ai 1 10/17/11 9:55 AM8295_CPF_App_Interbank_Giro_NFC001.ai 1 10/17/11 9:55 AM


22/22

Date :

To : Name of Bank & Branch : Name of Applicant (Company/Employer/Member) :

Type(s) of payments (Please where applicable)

Central Provident Fund Board79 Robinson Road, CPF Building Singapore 068897Website: www.cpf.gov.sg CPF Call Centre: 1800-227 1188

Pleaseapplyglueandsea

lhere.

Donotstaple.

Pleaseapplyglueandsealhere.

Donotstaple. P

leaseapplyglueandsealhere.Donotstaple.

Pleaseapplyglueandsealhere.Donotstaple.

Appl icati on Form For Inter -Bank GIRO Appl icati on This form may take you 3 minutes to complete if you have your bank passbook/statement on hand.

PART 1: For Applicants Completion (please complete all required details (marked ))

GIRO/IBG FORM

Notes: Please read overleaf Information on Application for Inter-Bank GIRO .

Please do not fax this GIRO form to us as the bank requires the original signature(s) for verification.

Amendments made on the form must be countersigned by bank account holder, use of correction fluid / tape is not allowed.

For business/company/other UEN registered entity

1. CPF contribution for employee(s)

2. Business Foreign Worker Levy

Unique Entity Number (UEN): CPF Payment Code^

CPF Payment Code^

For individual trading under own name(e.g. architect/engineer or individual hiring local personal driver/gardener)

EmployersNRIC/FIN:

3. CPF contribution for employee(s)

4. Business Foreign Worker Levy

Employers NRIC/FIN:

5. Domestic Foreign Worker Levy

NRIC:

6. Medisave and/or Voluntary Contributions for self-employed person S E S

NRIC:

7. Voluntary Contribution for non self-employed person V C S

^CPF Payment Code identifies the different types of payments (e.g. Mandatory/Voluntary CPF Contributions, Additional Medisave Contribution Scheme, etc.) made by you to the Board.You may email us at [email protected] for queries on CPF Payment Code.

(a) I/We hereby instruct you to process the Billing Organisation's (BO's) instructions to debit and credit my/our acount.

(b) You are entitled to reject the BOs debit instruction if my/our account does not have sufficient fund and charge me/us a fee for this. You may also at your discretion allow the debit

even if this results in an overdraft on the account and impose charges accordingly.

(c) This authorisation will remain in force until terminated by your written notice sent to my/our address last known to you or upon receipt of my/our written revocation through the BO.

PART 2: For CPF Boards Completion

PART 3: For Banks Completion

Bank Account Holders name(s) : My/Our Companys Stamp/Signature(s)/Thumbprint(s)*:

My/Our Bank Account Number :

My/Our Contact Numbers/E-mail address : As in Banks/Financial Companys records.

*For thumbprint(s),please go to the respective Bank/Financial Company with your

identification documents.

Bank Branch CPF Boards Account No.

Bank Branch Account No. To Be Debited

7 3 3 9 5 0 1 6 0 0 0 0 1 0 0 1

This application is hereby REJ ECTED (please) for the following reason(s) :

Signature/Thumbprint#differs from banks records Wrong account number

Signature/Thumbprint# incomplete/unclear# Amendments not countersigned by applicant

Account operated by signature/thumbprint# Others : _____________________________________________________________

#Please delete where inapplicable.

Name of Bank Officer Authorised Signature and Stamp of Bank Date

R i d O t 2011

Central Provident Fund Board

Name of Billing Organisation (BO) :

-

-

8295_CPF_App_Interbank_Giro_NFC001.ai 2 10/17/11 9:55 AM8295_CPF_App_Interbank_Giro_NFC001.ai 2 10/17/11 9:55 AM