Employer's Personal Particulars

Full Name (as in NRIC/FIN)*

.

NRIC or Foreign Identification Number (FIN)*

Passport Number (other Nationalities)

Passport Expiry Date (other Nationalities)

Hidden

Country of Issue (Identity Card / Passport)

Gender*

Female
Male

Date of Birth*

Tel No. (For Contact Purpose)*

Email (to receive email from MOM)*

Occupation*

Address (Nanny's Work Place)*

Nationality*

Residential Status*

Hidden

Please specify Residential Status if indicate "Others" earlier.

Marital Status*

Married
Divorced/Separated
Widowed
Single

Hidden

Color of Identity Card

Pink
Blue
Not Applicable

Hidden

Kindly upload IC, Passport copy or Work Pass (Both Side)

Max. file size: 1,000 MB.

Clear image scanned or taken using camera phone is accepted

Hidden

You may upload more file if required

Max. file size: 1,000 MB.

Newborn's Details

Baby's Birthday or Estimated Date of Delivery (EDD)*

(DD/MM/YYYY)

Hidden

Employer's Occupation Details

Hidden

Company's Name

Hidden

Monthly Salary

(in SGD)

Hidden

Type of Residence

Hidden

Family Members' Particulars

Hidden

How many other family members staying together?

(Excluding yourself and your spouse)

Hidden

Family Member 1 (Ignore if you answer 0 earlier)

Hidden

Full Name

First Last

Hidden

Date of Birth

Hidden

NRIC/Passport/FIN/BC

Hidden

Relationship

Hidden

Staying in the same address with you?

Yes
No

Hidden

Family Member 2 (Ignore if you answer 0 earlier)

Hidden

Full Name

First Last

Hidden

Date of Birth

Hidden

NRIC/Passport/FIN/BC

Hidden

Relationship

Hidden

Staying in the same address with you?

Yes
No

Hidden

Family Member 3 (Ignore if you answer 0 earlier)

Hidden

Full Name

First Last

Hidden

Date of Birth

Hidden

NRIC/Passport/FIN/BC

Hidden

Relationship

Hidden

Staying in the same address with you?

Yes
No

Hidden

Family Member 4 (Ignore if you answer 0 earlier)

Hidden

Full Name

First Last

Hidden

Date of Birth

Hidden

NRIC/Passport/FIN/BC

Hidden

Relationship

Hidden

Staying in the same address with you?

Yes
No

Declaration*

I have read and understood the Terms & Conditions.
I hereby declare that the above information is true and accurate.
I also understand that the levy liability of the Work Permit will start from the date the Work Permit is issued.

Work Permit Submission (Single)

Employer's Personal Particulars

Newborn's Details

Employer's Occupation Details

Family Members' Particulars

Family Member 1 (Ignore if you answer 0 earlier)

Family Member 2 (Ignore if you answer 0 earlier)

Family Member 3 (Ignore if you answer 0 earlier)

Family Member 4 (Ignore if you answer 0 earlier)

Confinement Services