Authorization Form printable pdf download

Authorization Form

ANNEX 1

Manpower Development Department

c/o BCA Academy

200 Braddell Road

Singapore 579700

Date:

Dear Sir

Declaration by Employer** (Company /Firm) for Oversea Test Registration

I hereby authorize Mr./Miss * ___________________of NRIC No: _________________ of Applicant Company/ MOM’s

licensed employment agency* to submit the overseas test registration on behalf of my company.

Month of Test: ____________ Country of test: _____________

Oversea Test Centre (OTC):____________________________

I declare that all particulars given in this application (including Prior Approval and Form T1) are true and correct and I

hereby give my consent to BCA to verify the particulars with any government Agency.

I am aware that if I make any false statement or produce any document which I know to be false, I shall be guilty of an

offence.

Name of employer

Designation

NRIC Number of employer

Signature of employer & Company Stamp

Information on MOM Licensed Employment Agency (Applicable if test registration is done through an Agency)

_______________________________________________________________________________________

Employment Agency’s stamp

Telephone Number

_______________________________________________________________________________________

Employment Agency’s Licence Number

Acknowledgement by registering OTC

We acknowledgement that we have checked that above submission is done by the authorised representative of

applicant company /MOM’s licensed employment agency

______________________________________________________________________________________

(Name & Signature of OTC’s representative)

Date

Note: *Delete where inapplicable

** Employer refers to the sole-proprietor or a partner in a partnership. For a limited company. It refer to a Director or a

Manager.

Rev Date: 19 Nov 2009

Authorization Form