Work Permit For A Foreign Domestic Worker Page 18

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Application for a foreign domestic helper work permit
Declaration by sponsor(s)
I/We declare that:
1.
I/We are responsible for the upkeep, maintenance and well-being of the foreign domestic worker.
2.
I/We remain responsible for this foreign domestic worker as long as we remain sponsor(s).
3.
If I/we apply for a new foreign domestic worker, MOM will take into consideration our existing responsibilities for the foreign
domestic worker.
4.
I/We must pay the foreign domestic worker levy and all other employment related expenses on behalf of
_________________________________ (Name of employer), for as long as we remain sponsor(s).
Name of sponsor 1
Name of sponsor 2
NRIC/Passport number of sponsor 1
NRIC/Passport number of sponsor 2
Signature of sponsor 1
Signature of sponsor 2
Date (DD-MM-YYYY)
Ministry of Manpower Work Pass Division
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