Form 14a - Application For An Entry Visa Page 2
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3PART II –OTHER DETAILS
Occupation:
Highest Academic/Professional Qualifications Attained: __________________________________________________________
Religion/Denomination: _____________________________________________________________________________________
Purpose of visit : ___________________________________________________________________________________________
Date of Intended Arrival in Singapore / Period of Visa Applied For: _______________________________________________
How long do you intend to stay in Singapore ?*
Up to 30 days
More than 30 days
If your intended stay in Singapore is more than 30 days, please state the reason for your intended length of stay and the
duration.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Nationality of Spouse:*
Singapore Citizen
Singapore Permanent Resident
Others (Please Specify)
Address in Singapore
Where will you be staying in Singapore ?*
Next-of-kin’s Place
Relative’s Place
Friend’s Place
Hotel
Others (Please
Specify)______________
Block/House No.:
Floor No.:
Unit No.:
Postal Code:
Street Name:
Tel No: _______________
Building Name: ____________________________________________________________________________________________
Did you reside in other countries, other than your country of origin, for one year or more during the last 5 years ?*
Yes
No
If yes, please furnish details
Period of Stay
Country
Address
From
To
PART III – ANTECEDENT OF APPLICANT *
(a) Have you ever been refused entry into or deported from any country, including Singapore?
Yes
No
(b) Have you ever been convicted in a court of law in any country, including Singapore?
Yes
No
(c) Have you ever been prohibited from entering Singapore?
Yes
No
(d) Have you ever entered Singapore using a different passport or name?
Yes
No
If any of the answer is “YES”, please furnish details on a separate sheet of paper
IMM 14
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THIS FORM IS ISSUED FREE
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