Form 14 - Application For A Visit Pass/visa & Visit Pass/ An Entry Visa (Page 2 of 3) in pdf

Form 14 - Application For A Visit Pass/visa & Visit Pass/ An Entry Visa Page 2

THIS FORM IS ISSUED FREE

PART I (continued)

Address in Singapore Block/House No.:

Floor No.:

Unit No.:

Postal Code:

Street Name:

Tel No:

Building Name:

Address in Country of Origin

Country of Origin:

State/Province of Origin:

Address:

PART II –OTHER DETAILS

Occupation:

Highest Academic/Professional Qualifications Attained:

Purpose of visit:

Period of Visa/Visit Pass/Visa & Visit Pass Applied For:

Nationality of Spouse:*

Singapore Citizen

Singapore Permanent Resident

Others (Please Specify)

List countries in which applicant has resided for one year or more during the last 5 years.

Period of Stay

Country

Address

From

PART III – ANTECEDENT OF APPLICANT *

(a) Have you ever been refused entry into or deported from any country, including Singapore?

Yes

(b) Have you ever been convicted in a court of law in any country, including Singapore?

Yes

(d) Have you ever entered Singapore using a different passport or name?

Yes

If any of the answer is “YES”, please furnish details on a separate sheet of paper

IMM 14

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Form 14 - Application For A Visit Pass/visa & Visit Pass/ An Entry Visa Page 2