Work Permit For A Foreign Domestic Worker Page 22

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