Form 14a - Application For An Entry Visa Page 3

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PART IV - DECLARATION BY APPLICANT
I declare that the particulars and documents furnished in respect of this application are true and
correct.
I undertake not to misuse controlled drugs or to take part in any political or other activities during my stay in Singapore which would make me an
undesirable or prohibited immigrant under the Immigration Act.
I undertake to comply with the provisions of the Immigration Act and any regulations made thereunder or any statutory modification or re-enactment
thereof for the time being in force in Singapore.
I undertake not to involve in any criminal offences in Singapore.
I undertake not to indulge in any activities which are inconsistent with the purpose for which the immigration passes have been issued
I further undertake not to be engaged in any form of employment, business or occupation whilst in Singapore without a valid work pass issued under the
Employment of Foreign Manpower Act ( Cap. 91A ).
I am aware that overstaying or working illegally in Singapore is a serious offence and on conviction, the penalties may include mandatory imprisonment
and caning.
I understand that if the Controller of Immigration is satisfied that I or any member of my family breaches this undertaking or becomes an undesirable
or prohibited immigrant, he will cancel my immigration pass and the passes of the members of my family, and we may be required to leave Singapore
within 24 hours of such cancellation.
I understand that this application for and possession of a visa does not guarantee entry into Singapore and permission to entry is entirely discretionary at
the point of entry.
I give my consent for your department to obtain and verify information from or with any source as you deem appropriate for the assessment of my
application for immigration facilities.
Date
Signature of Applicant
IMM 14
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3 -
THIS FORM IS ISSUED FREE

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