Work Permit Application Form Page 17
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18I 12
National Insurance Number:
I 13
National Health Insurance Number:
I 14
Foreign worker’s (the person to be self- employed) 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) __________________________________________________
I 15
Foreign worker’s (the person to be self- employed) occupation/job title if given a work
permit:______________________________
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Foreign Worker’s main duties if given a work permit:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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17. How many days per month will the Foreign Worker be needed to work if given a Work Permit?
____________
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State the duration of the Work Permit sought: ___________________________
Provide the following information on foreign worker’s remuneration package if given a work permit:
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19. Basic Salary
$ _______________
weekly
biweekly
monthly
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20. Housing Allowance $ ____________
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21Telephone Allowance
$ _______________
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22Transport Allowance $ _____________
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23. Education Allowance $ ________________
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23Other Allowances (specify) $ ___________________________________________________
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24. If the foreign worker’s remuneration package includes a bonus program, say how bonus will be
calculated:__________________________________________________________________
_____________________________________________________________________________
THIS DOCUMENT IS NOT TO BE SOLD OR PURCHASED
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Parent category: Business