Form Gpcl1 - Government-Paid Childcare Leave (Gpcl) Scheme Declaration By Employee Page 2
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5Form GPCL1
employee becomes ineligible (i.e. does not meet the eligibility criteria) or changes employer. If the employee changes employer
and is still eligible for childcare leave/ extended childcare leave, he/she may opt for a different relevant period with the new
employer.
Part D : Details of Childcare Leave (con’t)
Please indicate the date(s) which you will be taking the childcare leave/ extended childcare leave.
Monthly Salary
Leave Duration
Monthly Claimable
Monthly Employer
Leave Date(s)
(excluding
S/N
(Full-Day / Half-
Allowances
CPF Contribution
(DD/MM/YYYY)
allowances)
Day)
(S$)
(S$)
(S$)
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Part E : Declaration of Leave Consumption
A. I have not applied for childcare leave/ extended childcare leave with my previous employer during the current
calendar year.
B. I have previously applied for childcare leave/ extended childcare leave with my previous employer(s) during
the current calendar year.
If you have selected box B, i.e. taken childcare leave/extended childcare leave at any time during the current
relevant period, please provide the details below.
Date(s) of childcare
Start date of
Last day of
leave/ extended
Name of previous
employment with
employment with
childcare leave taken
S/N
employer(s)
the previous
the previous
under the previous
employer
employer
employer (where
applicable)
Number of days of childcare leave/extended childcare leave taken with previous employer(s) for the current
calendar year : ___________
Updated July 2017
Page 2 of 5
Version 2017.1
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