Annex To Application For A Visit Pass (Form 14) Page 2

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(FORM V-234)
ANNEX TO APPLICATION FOR A VISIT PASS (FORM 14)
I. APPLICANT
(m) Particular of Applicant's All Other Marriages (including customary marriages):
(If not applicable, please enter NIL)
Date of
Date of Marriage
Present
Date/Place of Birth
Divorce/Decease
(
)
Whereabouts
DD/MM/YYYY
Name of Spouse
Nationality
(n) Particular of Applicant's Other children(by all other marriages/illegitimate children/adopted children).**
(If not applicable,
please enter NIL)
Name
Date of Birth
Nationality
Occupation
Relationship to Applicant
Son /Daughter
Son /Daughter
Son /Daughter
Son /Daughter
Son /Daughter
(o) Additional Questions for Applicant
1) Did you provide money or any form of benefit, directly or indirectly to:
(i) your spouse, your spouse’s family or a third party in relation to the sponsoring of this application?
□Yes
□No
(ii) your spouse, your spouse’s family or a third party for agreeing to enter into this marriage?
□Yes
□No
(If the answer to any of these questions is yes, please provide a detailed explanation in a separate sheet of paper)
2) Did you enter into this marriage with your spouse to enable you to obtain long-term stay in Singapore?
□Yes
□No
(If the answer to this question is yes, please provide a detailed explanation in a separate sheet of paper)
I hereby confirmed that the information given above is true and correct to the best of my knowledge, and that I have
not wilfully suppressed any material fact.
Name and Signature of Applicant
Date
Important notes:
(i)
Incomplete forms will render the application invalid
(ii)
*To add separate sheet of paper if insufficient.
(iii)
** Please furnish the birth certificate(s) of child(children) if any.

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