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Form Rf4 - Claim For Refund Of Skills Development Levy Under The Skills Development Levy Act

REFUND FORM RF4

CLAIM FOR REFUND OF SKILLS DEVELOPMENT LEVY UNDER THE

SKILLS DEVELOPMENT LEVY ACT (Cap. 306)

Only one copy of this claim form is required. All items in this form must be completed. All information given will be held in

strictest confidence.

Please send the completed form and the requested documents to:

Singapore Workforce Development Agency

1 Marina Boulevard

#16-01 One Marina Boulevard

Singapore 018989

Attn: Incentives Policy and Management Division

Tel : 6883 5885

1. Registered Name and Address of Company

Tel : _______________

Fax : _______________

2. Your Company’s CPF Reference No.

3. Nature of Business

4. Amount of overpaid Skills Development Levy claimed for : $____________________

(Please show computation on Annex 1 overleaf, using attachments if necessary)

5. To process your claim for refund, the following documents must be furnished with this form:

i) Certified True Copy of CPF receipts (Form 90 & 90A) for the claim period;

ii) Listing of the gross monthly salary of all your employees, including foreign workers (if any) for the claim period from

________________to__________________.

I declare that the facts stated in this claim and the information are true and correct to the best of my knowledge and that I

have not withheld or distorted any material facts. Apart from this claim, no other claims have been made by us for the same

period disclosed in this claim form.

I understand that I may be prosecuted under Section 11 of the Skills Development Levy Acts (Cap. 306) for making a false

return or giving false information in relation to my liability to pay the Skills Development Levy.

Signature

: __________________________________

Date : ________________________

Name

: __________________________________

Designation : __________________________________ (Manager level and above)

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Form Rf4 - Claim For Refund Of Skills Development Levy Under The Skills Development Levy Act