Work Permit Application Form Page 14
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18H6
Name of person to contact regarding information about this application
:
H7
If contact person is employed in an Agency, state the Agency’s name and address:
Give the following information about Company/Firm/Individual Employer as applicable:
H8
Business License Number:
H9
Business License Category
H10
Expiration Date
DD MM YYYY
H11
National Insurance Number:
H12
National Health Insurance Number:
H13
Foreign worker’s employment status in the company/firm if given a work permit (tick as
appropriate):
Employee (including trainee or intern)
Partner
Sole Proprietor
Director
Shareholder
Other (please specify) __________________________________________________________
H14Foreign worker’s occupation/job title if given a work permit:__________________________
H15
Foreign Worker’s main duties if given a work permit:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
H16. How many days per month will the Foreign Worker be needed to work if given a Work Permit?
____________
H17
State the duration of the Work Permit sought: ___________________________
Provide the following information on foreign worker’s remuneration package if given a work permit:
H18. Basic Salary
$ _______________
weekly
biweekly
monthly
H19. Housing Allowance
$ __________
H20Telephone Allowance
$ _______________
H21Transport Allowance
$ __________ H22. Education Allowance$ __________________
THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED
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Parent category: Business