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  • Mom Ep Healthdeclare

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    ravi kumar v
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    Health DECLARATION FORM must be completed by each pass holder whose name is indicated with a (D) in the In-Principle Approval Letter. The original copy must be submitted to the Employment pass Department, Ministry of Manpower, Singapore at the time of collection of the pass. If found to be suffering from AIDS or infected with HIV or Tuberculosis, the pass issued to me will be cancelled. It is an offence under the Singapore immigration act to make any false

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    Health DECLARATION FORM must be completed by each pass holder whose name is indicated with a (D) in the In-Principle Approval Letter. The original copy must be submitted to the Employment pass Department, Ministry of Manpower, Singapore at the time of collection of the pass. If found to be suffering from AIDS or infected with HIV or Tuberculosis, the pass issued to me will be cancelled. It is an offence under the Singapore immigration act to make any false

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    18 views1 page

    Mom Ep Healthdeclare

    Uploaded by

    ravi kumar v
    Health DECLARATION FORM must be completed by each pass holder whose name is indicated with a (D) in the In-Principle Approval Letter. The original copy must be submitted to the Employment pass Department, Ministry of Manpower, Singapore at the time of collection of the pass. If found to be suffering from AIDS or infected with HIV or Tuberculosis, the pass issued to me will be cancelled. It is an offence under the Singapore immigration act to make any false

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    HEALTH DECLARATION FORM

    1. This form is to be completed by each pass holder whose name is indicated with a (D)
    in the In-Principle Approval Letter.
    2. The original copy of the completed form must be submitted to the Employment Pass
    Department, Ministry of Manpower, Singapore at the time of collection of the pass.

    To: Controller of Immigration


    Singapore

    I _______________________________________________________________________

    FIN ____________________________ declare that I have not suffered or am not

    suffering from AIDS or infected with HIV or Tuberculosis.

    I know that if I am found to be suffering from AIDS or infected with HIV or Tuberculosis,

    the pass issued to me will be cancelled and I will have to leave Singapore by the date the

    Controller of Immigration requires me to leave Singapore.

    Dated _______ of ________________ 20 _____

    __________________________________ ______________________
    (Name of Pass Holder) (Signature of Pass Holder)

    __________________________________
    (Passport/Identity Card No)

    WARNING : IT IS AN OFFENCE UNDER THE SINGAPORE IMMIGRATION ACT TO


    MAKE ANY FALSE STATEMENT, REPRESENTATION OR DECLARATION

    Healthdeclareform 20102000

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