Work Pass Division

18 Havelock Road Singapore 059764 Tel: 6438 5122 http://www.mom.gov.sg mom_wpd@mom.gov.sg

Work Permit Application for a Foreign Domestic Worker

This form may take you 20 minutes to fill in. You will need the following information to fill in the form: 1. For Foreign Domestic Worker Name, date of birth, marital status and religion Passport number and expiry date Work Permit number (if applicable) Place of birth, citizenship, race and highest qualification Malaysian IC number (if applicable) Spouse name, IC number, residential status and nationality (if she is married to a Singapore Citizen / Singapore Permanent Resident)

2. For Foreign Domestic Workers employer The employers name, date of birth, Identity Card (IC) number or Foreign Identification Number (FIN) and residential status The employers spouse name, date of birth, IC number or FIN, marital status and residential status The employment information of both employer and employers spouse The particulars of family members staying in same residential address The Income Tax Notice of Assessment Reference number for previous or current year The employer and/ or spouses monthly income The current employers name, IC number / passport number / FIN and signature (for change of employer)

Work Permit Application for a Foreign Domestic Worker

WPCM

Important Things to Note: 1. Please complete Part 1 to 5 in this Application Form. Where an item is not applicable, please fill in NA. An incomplete application form will not be processed. The processing time for Work Permit Applications submitted via: 3. WP Online (under Services & Forms>Passes >Work Permit for Foreign Domestic Workers at http://www.mom.gov.sg) Any SingPost post offices, MOM-appointed Collecting Agent - Next working day - 7 working days

2.

Please obtain a Singapore Personal Access (SINGPASS) before you access WP Online. Upon successful SINGPASS application, you will be able to apply for Work Permits electronically. Please refer to enclosed Step-by-Step Guide on Work Permit Application via WP Online. An administrative fee of $20 will be charged for every Work Permit application submitted. There shall be no refund of fee paid for the application of Work Permit, unless the fee was not due from the employer. Any such request for refund shall be at the discretion of the Controller of Work Passes. The payment modes for Work Permit application submitted via: WP Online for Company and Employment Agency Users - Visa/Master Card/eNets Debit/GIRO. GIRO payment is available to WP Online subscribed users only. WP Online for Employers of Foreign Domestic Workers - Visa/Master Card/eNets Debit SingPost post office (MOM-appointed Collecting Agent) - Cash/Nets/Cashcard

4.

5.

6.

The outcome will be mailed to employers at their residential address for Work Permit Applications submitted through SingPost post office.

Please the appropriate A) This Work Permit application is to: 1 replace the existing domestic worker (Work Permit number): 2 employ a new domestic worker 3 employ an additional domestic worker, please enclose: i. A copy of the childrens birth certificates (For children below 18 years old and are residing at the same address as the employer) AND/Or ii. A copy of the parents/parents-in-laws Identity Cards and employers/spouses birth certificate (For parents/parents-in-laws who are 60 years old or above and are residing at the same address as the employer) B) If the domestic worker is holding a Work Permit or had held a Work Permit in Singapore before, please fill in her Work Permit number: C) Please fill in the employers and spouses NRIC No./FIN, which will be used for the foreign domestic workers levy payment. Employers NRIC number/FIN.: Spouses NRIC number/FIN.:

For Official Use: DOA: NRIC No./FIN: Support Type MP / Non-MP

WPCM 002

DSN: Foreign Domestic Worker: Type of Application Normal / Joint / Sponsor

Dept: SK1 SK6

Work Permit Application for a Foreign Domestic Worker

1.

Key Information: A Foreign Domestic Worker must meet the following basic requirements: (a) She must be a female, aged 23 or above, and below 50 (applicable to first-time Foreign Domestic Workers in Singapore) at the time of the Work Permit application. (b) She must have a minimum of 8 years of formal education and possess the necessary educational certificates as documentary proof of her education (applicable to first-time Foreign Domestic Workers in Singapore). Please refer to the List of Acceptable Educational Certificates in Ministry of Manpowers (MOM) website at http://www.mom.gov.sg (Please click on Work Permit (Foreign Domestic Worker) > Foreign Domestic Worker Requirements). (c) She must attend the Settling-in Programme (applicable to first-time Foreign Domestic Workers in Singapore), within 3 working days of her arrival in Singapore (excluding day of arrival), before the issuance of her Work Permit. For information on the course, please visit MOMs website (Please click on Work Permit (Foreign Domestic Worker) > Upon Arrival in Singapore). (d) She must be employed at her employers residential address as stated on the employers Identity Card (NRIC). (e) She must not be related to the employer. (f) She must not be in Singapore before an In-Principle Approval is given and a $5000 security deposit is furnished by the employer (applicable to Non-Malaysian workers). This does not apply to a current Work Permit holder making a Work Permit application under a new employer in Singapore.

2.

The employer must note the following: (a) The employer must not be an undischarged bankrupt. (b) The employer must attend the Employers Orientation Programme (applicable to first-time employers of Foreign Domestic Workers in Singapore) before he/she submits a Work Permit application for the domestic worker. For information on the programme, please visit MOMs website (Please click on Work Permit (Foreign Domestic Worker) > Employers Requirements). (c) The employer must fully understand his/her responsibility in ensuring a safe working environment for the FDW under his/her employment. Therefore the employer must not be diagnosed with Alzheimer/Dementia/Schizophrenia, which can cause symptoms such as severe memory lapses, confusion, emotional instability, progressive loss of mental ability, paranoia etc.

3.

The Foreign Worker Levy should be paid using GIRO. If the employer has not made prior arrangements for GIRO payment, please complete the attached GIRO Form and submit it with the duly completed Work Permit Application Form to the Work Pass Division, Ministry of Manpower. Documents to be attached to this completed Application Form: A copy of the employers Identity card (applicable to Singaporeans and Malaysians) A copy of the employers Passport and Employment/Dependants Pass (applicable to foreigners) A copy of the employers or spouses Long-Term Visit Pass (LTVP) and the childs Birth Certificate/Student Pass (applicable to LTVP holders) A copy of the employers and spouses Income Tax Notice of Assessment for the current or previous assessment year from the Comptroller of Income Tax (if any). Alternatively, the employer must give his/her consent (in Page 7) to the Controller of Work Passes to verify his/her income with the Comptroller of Income Tax. If the employer and/or spouse is/are unable to produce the required Income Tax Notice of Assessment mentioned in (4), the employer must give the reasons in writing and enclose a copy of his/her/their CPF Account Statement(s) for the last 3 months and an Employment Letter from the company (on the companys letterhead) stating the commencement date of employment and the monthly salary. If the employer is unable to produce any of the supporting document mentioned above , please provide these following alternatives: (a) Reasons in writing; and (b) Other documentary proof of income i) ii) Overseas Income Tax of Assessment; or Fixed deposit statement with a local bank (For employer who does not earn an income and is 60 years old and above)

1. 2. 3. 4.

5.

6.

7. 8. 9.

A copy of the Foreign Domestic Workers Passport/Travel Document A copy of the Foreign Domestic Workers Identity Card (applicable to Malaysian workers) A copy of the childrens Birth Certificates and/or parents/parent-in-laws Identity Cards and employers/spouses Birth Certificates (applicable to employers applying for an additional domestic worker).
002 3 This form is issued free-of-charge.

WPCM

Work Permit Application for a Foreign Domestic Worker

Part 1

Information on Foreign Domestic Worker (Please the appropriate )

1A: Particulars of Foreign Domestic Worker

Name (as in Identity Card/Passport/Travel Documents) in BLOCK LETTERS. Please underline the surname:

Date of Birth (DD-MM-YYYY): Marital Status: 1 Single

Sex:

1 Male

2 Female

2 Married 1 Passport

3 *Divorced/Separated 2 Certificate of Identity

4 Widowed 3 Other Travel Document

Type of Travel Document Held: Passport/Travel Document Number:

Expiry Date of Passport/Travel Document Number (DD-MM-YYYY): Type of Present Endorsement in Travel Document/Passport: 0 Current Work Permit holder

2 Short Term Visit Pass (3 months or less)

-

3 Long-Term Visit Pass (more than 3 months) Please indicate Expiry Date (DD-MM-YYYY): 4 Special Pass, please indicate Expiry Date (DD-MM-YYYY): 5 Dependants Pass Place of Birth: SG Singapore IN India

6 Not applicable (Foreign worker is not in Singapore)

MY Malaysia LK Sri Lanka

ID Indonesia BD Bangladesh

TH Thailand MO Macau

Ph Philippines HK Hong Kong

BU The Republic of the Union of Myanmar State/Province of Birth: Citizen of: MY Malaysia LK Sri Lanka

Others (Please specify) _________________________

ID Indonesia BD Bangladesh

TH Thailand MO Macau

Ph Philippines HK Hong Kong

IN India

BU The Republic of the Union of Myanmar

SS No Citizenship (incl. Msian PR)

Others (Please specify) ____________________________________________________ State/Province where the foreigner obtained his/her nationality:

Race:

1 Malay

2 Indonesian

3 Chinese

4 Indian

5 Others (Please specify) _________________________________________ Type of Identity Card (For Malaysian Worker Only): Identity Card Number (For Malaysian Worker Only): FIN (if any): Domestic workers basic salary if the application is approved: S$ per month. 1 Malaysia Pink 2 Malaysia Blue

Highest Qualification Obtained: (For Malaysian worker, please attach a copy of the workers educational certificate if the educational level is not lower than Sec 4) 00 No Education 40 Degree Religion: B Buddhist S Sikh
*Delete where in applicable. WPCM 002 4

16 Primary 24 Secondary Education Education 90 Education Unknown F Free Thinker O Others

M Muslim

26 High School Education

30 Diploma

H Hindu

C Christian

Work Permit Application for a Foreign Domestic Worker

1B: Particulars of Foreign Domestic Workers Spouse (Applicable to Foreign Worker who is married to a Singapore Citizen or Singapore Permanent Resident) Spouses Name: Spouses Date of Birth (DD-MM-YYYY): Nationality (please specify): Residential Status: Singapore Permanent Resident S Non-Singapore Permanent Resident -

Spouses Singapore Identity Card Number: Spouses Passport Number: Spouses Date of Singapore Permanent Residency Issued (DD-MM-YYYY): Type of Spouses Identity Card: 3 Singapore Blue

4 Singapore Pink 2 Singapore 3 Others (Please specify):

Date of Marriage (DD-MM-YYYY): Place of Marriage: 1 Malaysia

Part 2: Information on Prospective Employer 2A: Particulars of Prospective Employer Employers Name:

Date of Birth (DD-MM-YYYY): Marital Status: 1 Single

Sex:

1 Male 4 Widowed Yes

2 Female

2 Married

3 Divorced/Separated

Is the marriage registered in Singapore with Registry of Marriages/Muslim Marriages?

No

Address (as stated on the Singaporean / Singapore Permanent Resident Employers Identity Card): Postal Code Type of Residence: 11 Bungalow 22 Shop House 34 HDB (4-Rm) 24 Public Flat/Apt (Non-HDB) Residential Status: 1 Singapore Citizen 12 Semi-detached House 31 HDB (1-Rm) 35 HDB (5-Rm & above) 13 Terrace House 32 HDB (2-Rm) 36 HDB (Others) 61 Quarters 2 Singapore Permanent Resident 3 Employment Pass holder 33 HDB (3-Rm) 37 HUDC 23 Private Flat/Apt

4 Others (Please specify)

WPCM

002

Work Permit Application for a Foreign Domestic Worker

Identity Card Details (For Singaporeans and Malaysians) or Passport and FIN (if any) for other Nationalities: Identity Card number: Country of Issue: *Singapore / Malaysia Passport number: Nationality: Diplomat ID (For Diplomat only): Expiry of Diplomat ID (DD-MM-YYYY): 2B: Particulars of Prospective Employers Spouse Employers *Wifes/Husbands Name: Date of Birth (DD-MM-YYYY): Residential Status: 1 Singapore Citizen 4 Others (Please specify) Sex: 2 Singapore Permanent Resident 1 Male 2 Female Colour of Identity Card: *Pink / Blue FIN (if any): Country of Issue (Passport):

3 Employment Pass holder

Identity Card Details (For Singaporeans and Malaysians) or Passport and FIN (if any) for other Nationalities: Identity Card number: Country of Issue: *Singapore / Malaysia Passport number: Nationality: Diplomat ID (For Diplomat only): Expiry of Diplomat ID (DD-MM-YYYY): Colour of Identity Card: *Pink / Blue FIN (if any): Country of Issue (Passport):

2C: Employment Information of Prospective Employer and Spouse Employment Details Occupation: Name of Company: Employer *Wife/Husband

Telephone No. (For contact purpose): Email Address (if any): 2D: Particulars of Prospective Employers Family Members staying at the Same Address (as stated on the Singaporean / Singapore Permanent Resident Employers Identity Card) Birth Cert/ NRIC/Passport No/ FIN

Name of Family Member(s)

Relationship

Date of Birth

Occupation

*Delete where inapplicable. For Official Use: <6

WPCM 002

6-12

>12

Mem
6

Work Permit Application for a Foreign Domestic Worker

2E: Prospective Employers and Spouses Declaration of Income Please complete either Item 1, 2 or 3 below. 1. Please fill in the following details and submit the Income Tax Notice of Assessments: Tax Ref No. Employer *Wife/Husband 2. If you are not liable for any income tax, please provide your CPF Statement of Account for the past 3 months and an Employment Letter from your company. Please declare your average monthly income below: Employers Monthly Income $ 3. *Wife/Husbands Monthly Income $ Year of Assessment Annual Total Income ($)

If you and/or your spouse do not wish to disclose your income in this form, please give your consent to the Controller of Work Passes to verify your income with the Comptroller of Income Tax, by filling in the authorisation at the bottom of the page. Please *your monthly income range/you and your spouses combined monthly income range:Below $2,000 $3,500 to $3,999 $8,000 to $9,999 $20,000 to $24,999 $2,000 to $2,499 $4,000 to $4,999 $10,000 to $12,499 $25,000 and above $2,500 to $2,999 $5,000 to $5,999 $12,500 to $14,999 $3,000 to $3,499 $6,000 to $7,999 $15,000 to $19,999

Authorisation I, (Name of Employer) I, (Name of Employers Spouse) *NRIC/WP No/FIN *NRIC/WP No/FIN *and/or

hereby authorise the Comptroller of Income Tax to verify *my/our income tax range stated above, based on *my/our assessment record(s) for the current Year of Assessment and the two previous Years of Assessment, for the Controller of Work Passes. *I/We also authorise the Comptroller of Income Tax to thereafter communicate the results of the verification to the Controller of Work Passes. In the event that *my/our assessment record(s) for the current Year of Assessment *is/are not available or finalised at the point of verification, *I/we understand that the Comptroller of Income Tax will verify *my/our income range stated above against *my/our assessment record(s) for the two previous Years of Assessment.

Employer Income Tax Notice of Assessment Ref No.:

Employers Signature

Date

*Wife/Husband Income Tax Notice of Assessment Ref No.:

*Wife/Husbands Signature *Delete where inapplicable

Date

WPCM

002

Work Permit Application for a Foreign Domestic Worker

Part 3

Prospective Employers Declaration

I hereby declare that: 1. I have read and understood the applicable conditions and regulatory conditions of Work Permit, as specified in the Employment of Foreign Manpower (Work Passes) Regulations c.91A, available at the MOM counters or at www.mom.gov.sg. I consent, for the purpose of assessing this application, for the Government of Singapore and statutory authorities thereof to obtain from and verify information with any person, organisation or any other source; and further, to the release of all information thereby obtained to the Government of Singapore, statutory authorities and authorised agents thereof. To the best of my knowledge, the foreign domestic worker (if she has not worked as a foreign domestic worker in Singapore before) has had a minimum of 8 years of formal education and possesses the necessary educational certificates as documentary proof of such education (applicable if the foreign domestic worker is not recruited through an Employment Agency). I am not related to the foreign domestic worker. I have / have not* used the services of an Employment Agency based in Singapore for the recruitment of the foreign domestic worker. (If applicable: Employment Agency Licence No. ________________________________. Please also ensure that the Employment Agency completes PART 4.) The information as set out in PART 2 and any appeals I have made in relation to this application are, to the best of my knowledge, true and correct; and that all documents submitted in support of this application and any appeals made in relation to this application, are true copies of the authentic documents.

2.

3.

4.

5.

Name of Prospective Employer

Signature of Prospective Employer

Date

Part 4 Declaration by Employment Agency (Applicable if the employer has used the services of an Employment Agency or intermediary. If more than one Employment Agency/intermediary is used, please complete the attached additional declaration sheets.) Name of Employment Agency: Licence Number: Registered Address: I hereby declare that: 1. 2. I, the undersigned, am the Employment Agency personnel handling this application. To the best of my knowledge, that the foreign domestic worker in this application (if she is a first-time foreign domestic worker in Singapore) has had a minimum of 8 years of formal education; and possesses the necessary educational certificates as documentary proof of such education (applicable if the foreign domestic worker is recruited through an Employment Agency). I have explained the contents of the application and the applicable conditions and regulatory conditions of Work Permit, as specified in the Employment of Foreign Manpower (Work Passes) Regulations c.91A to the foreign employee and the employer. The information as set out in this application and any appeals I have made in relation to this application is, to the best of my knowledge, true and correct; and that all documents I have submitted in support of this application and any appeals I have made in relation to this application are true copies of the authentic documents.

3.

4.

Name of Employment Agency Personnel: Employment Agency Personnel Number:

Date & Signature of Employment Agency Personnel

Employment Agency Stamp

WPCM

002

This Form is updated on 11 December 2012.

Work Pass Division

18 Havelock Road Singapore 059764 Tel: 6438 5122 http://www.mom.gov.sg mom_wpd@mom.gov.sg

Additional Declaration By Employment Agency or Intermediary Based In Singapore

This form may take you 5 minutes to fill in. You will need the following information to fill in the form: The domestic workers passport number The domestic workers Work Permit number The employers Identity Card number or Foreign Identification number The name of employer The name of employment agency The employment agencys licence number

Particulars of Worker and Employer Name of Domestic Worker: Passport No.: Identity Card Number or Foreign Identification Number: Name of Employer: Nationality:

Particulars of Employment Agency Name of Employment Agency: Licence Number: Registered Address: Telephone: Declaration by Employment Agency I hereby declare that 1 2 I, the undersigned, am the Employment Agency personnel handling this application. To the best of my knowledge, that the foreign domestic worker in this application (if she is a first-time foreign domestic worker in Singapore) has had a minimum of 8 years of formal education; and possesses the necessary educational certificates as documentary proof of such education (applicable if the foreign domestic worker is recruited through an Employment Agency). 3 I have explained the contents of the application and the applicable conditions and regulatory conditions of Work Permit, as specified in the Employment of Foreign Manpower (Work Passes) Regulations c.91A to the foreign employee and the employer. 4 The information as set out in this application and any appeals I have made in relation to this application is, to the best of my knowledge, true and correct; and that all documents I have submitted in support of this application and any appeals I have made in relation to this application are true copies of the authentic documents. Name of Employment Agency Personnel: Employment Agency Personnel Number:

Date & Signature of Employment Agency Personnel

*Delete where applicable

Employment Agency Stamp

9 WPCM 021 This Form is updated on 09 Nov 2012.

Work Permit Application for a Foreign Domestic Worker

Part 5

Current Employers Consent to Transfer Foreign Domestic Worker to Prospective Employer

The Work Permit application for a change of employer will only be considered if the domestic workers Work Permit expiry date is not less than 30 days from the date of this application. I, (Name) of *NRIC/Passport number/FIN: agree to allow my Foreign Domestic Worker (Name on page 4) to be employed by the prospective employer, (Name) Pending the outcome of this application, I shall continue to undertake all responsibilities for the said workers employment and will extend her Work Permit, if necessary. If the application is unsuccessful, and I choose not to employ the said worker further, I will repatriate her.

Current Employers Signature

Date

Name of Prospective Employer:

Signature of Prospective Employer

*Delete where inapplicable

Date

WPCM

002

10

Work Permit Application for a Foreign Domestic Worker

Important Note: Please read Part 1 and 2 of the First Schedule and Part 1, 2 and 6 of the Fourth Schedule and detach them for your retention.

FIRSTSCHEDULE

CONDITIONSANDREGULATORYCONDITIONSOFIN-PRINCIPLE APPROVALFORAWORKPERMIT

PARTI

CONDITIONSTOBECOMPLIEDWITHBYEMPLOYEROF FOREIGNEMPLOYEEWHOISDOMESTICWORKERISSUEDWITH IN-PRINCIPLEAPPROVALFORWORKPERMIT 1. Theemployershallberesponsibleforandbearthecostsoftheupkeep andmaintenanceoftheforeignemployeeinSingapore.Thisincludestheprovision ofadequatefoodaswellasmedicaltreatment. 2. Theemployershallensurethattheforeignemployeehasacceptable accommodation.Suchaccommodationmustbeconsistentwithanywrittenlaw, regulation,directive,guideline,circularorothersimilarinstrumentissuedbythe Government. 3. Theemployershallbearanymedicalexpensesincurredbytheforeign employeeforanymedicalexaminationrequiredbytheController. 4. Theemployershallnotcauseorknowinglypermittheforeignemployee tobeengagedinanyillegal,immoralorundesirableconductoractivity. 5. Anemployershallnotdemandorreceiveanysumorotherbenetfrom anyemploymentagencyorpersoninconnectionwiththeemploymentorchange inemploymentoftheforeignemployee. 6. IftheforeignemployeedieswhileinSingapore,theemployershall (a)bearthecostofeither (i)burialofthebodyinSingapore; (ii)cremationofthebodyinSingaporeandreturnoftheashesto thecountryoforigin;or (iii)returnofthebodytothecountryoforigin, withtheforeignemployeesfamilydecidingonburial,cremationor returnofthebody; (b)bearthecostofreturningtheforeignemployeesbelongingstothe foreignemployeesfamily;and (c)paytotheadministratorsoftheforeignemployeesestateanyoutstanding salariesormoneysduefromtheemployertotheforeignemployee. 7. Subjecttoparagraph8,theemployershallrepatriatetheforeign employeetotheinternationalportofentrythataffordsreasonableaccesstothe foreignemployeeshometownwithintheforeignemployeeshomecountryifthe in-principleapprovalfortheforeignemployeeexpiresoriscancelledorrevoked andiftheemployeeisnotearlieremployedbyanotheremployer.Intheeventof anydisputeabouttheinternationalportofentrytowhichtheforeignemployee shallberepatriated,thedisputeshallbereferredtotheController,whosedecision shallbenal.

Work Permit Application for a Foreign Domestic Worker

FIRSTSCHEDULEcontinued 8. Theemployermayrepatriatetheforeignemployeetoadestinationother thanthatspeciedinparagraph7 (a)iftheforeignemployeesorequests,andtheControllerisinformedby theemployeroftheemployersintentiontodoso,beforetherepatriation occurs;or (b)iftheControllersodetermines. 9. Theemployershallbearthecostsassociatedwithrepatriatingtheforeign employeeatanytimeexceptwheretheControllerpermitsotherwise.Theemployer shallensurethatalloutstandingsalariesormoneysduefromtheemployerto theforeignemployeehavebeenpaidbeforetheforeignemployeesrepatriation.

PARTII

REGULATORYCONDITIONSTOBECOMPLIEDWITHBYEMPLOYER OFFOREIGNEMPLOYEEWHOISDOMESTICWORKERISSUEDWITH IN-PRINCIPLEAPPROVALFORWORKPERMIT 1. Theemployershalltakeallnecessarystepstoensurethattheforeign employeescopyofthein-principleapprovalletter,initsentiretyasfurnishedby theMinistryofManpower,issenttotheforeignemployeewithinareasonable timepriortotheforeignemployeesdepartureforSingapore.Theemployerwill beregardedtohavetakenallnecessarysteps (a)wheretheemployerdoesnotengagetheserviceofanemployment agency,iftheemployercanprovidesufcientevidencethattheforeign employeescopyofthein-principleapprovalletter,initsentiretyas furnishedbytheMinistryofManpower,hasbeensenttotheforeign employee;or (b)wheretheemployerengagestheservicesofanemploymentagent,if theemployercanprovidesufcientevidencethat (i)theemployerinstructedtheemploymentagencytosendthe foreignemployeescopyofthein-principleapprovalletter,inits entiretyasfurnishedbytheMinistryofManpower,hasbeensent totheforeignemployee;or (ii)theemploymentagencyinformedhimthattheemploymentagency willsendtheforeignemployeescopyofthein-principleapproval letter,initsentiretyasfurnishedbytheMinistryofManpower, totheforeignemployee. 2. Theemployershallpurchaseandmaintainmedicalinsurancewithcoverage ofatleast$15,000per12-monthperiodoftheforeignemployeesemployment (orforsuchshorterperiodwheretheforeignemployeesperiodofemployment islessthan12months)fortheforeignemployeesin-patientcareanddaysurgery exceptastheControllermayotherwiseprovidebynoticationinwriting. 3. Theemployershallsendtheforeignemployeeforamedicalexamination byamedicalpractitionerregisteredundertheMedicalRegistrationAct(Cap.174) asandwhendirectedbytheController. 4. Iftheforeignemployeegoesmissing,theemployershallinformthe Controllerwithin7daysaftertheemployerbecomesawareoftheforeignemployee goingmissing.

Work Permit Application for a Foreign Domestic Worker

FIRSTSCHEDULEcontinued 5. IftheforeignemployeedieswhileinSingapore,theemployershallinform theControllerwithin12hoursaftertheemployerbecomesawareoftheforeign employeesdeath.

FOURTHSCHEDULE

CONDITIONSANDREGULATORYCONDITIONSOFWORKPERMIT

PARTI

CONDITIONSTOBECOMPLIEDWITHBYEMPLOYEROFFOREIGN EMPLOYEEWHOISDOMESTICWORKERISSUEDWITHWORKPERMIT 1. Theemployershallberesponsibleforandbearthecostsoftheupkeep andmaintenanceoftheforeignemployeeinSingapore.Thisincludestheprovision ofadequatefoodaswellasmedicaltreatment. 2. Theemployershallprovidesafeworkingconditionsandtakesuchmeasures asarenecessarytoensurethesafetyandhealthoftheforeignemployeeatwork. Thisincludes (a)notpermittingtheforeignemployeetocleantheoutwardfacingsideof anywindownotlocatedonthegroundlevelornotfacingacommon corridorifthewindowisnotttedwithagrillesecuringagainstany adultextendinganypartofhisbodybeyondthewindowledgeexcept hisarms;and (b)inthecaseofawindowreferredtoinsub-paragraph(a)ttedwitha grilleofthedescriptionspeciedinthatsub-paragraph,notpermitting theforeignemployeetocleantheoutwardfacingsideofthewindow unlessatalltimesduringthecleaningprocess (i)thegrilleislockedorsecuredinamannerthatpreventsthegrille frombeingopened; (ii)theforeignemployeeremainsinsidetheroom; (iii)nopartoftheforeignemployeesbodyextendsbeyondthewindow ledgeexceptthearms;and (iv)theforeignemployeeissupervisedbytheemployer,oranadult representativeoftheemployer,whoisreasonablycapableof conductingsuchsupervisionandisawareoftherequirementsin sub-paragraphs(i),(ii)and(iii). 3. Subjecttoparagraph2,theemployershall,sofarasisreasonably practicable,ensurethatthelifeorpersonalsafetyoftheforeignemployeeisnot endangeredduringandinthecourseofemployment,andthattheforeignemployee actsinamannerwhichisinaccordancewiththeworkpracticesstipulatedbythe Controllerinitstrainingcoursesandrelevantsafetyandtrainingmaterials. 4. Theemployershallprovideacceptableaccommodationfortheforeign employee.Suchaccommodationmustbeconsistentwithanywrittenlaw,regulation, directive,guideline,circularorothersimilarinstrumentissuedbytheGovernment. 5. Theemployershallensurethattheforeignemployeeresidesatthe residentialaddressstatedintheworkpermit.

Work Permit Application for a Foreign Domestic Worker

FOURTHSCHEDULEcontinued 6. Theemployershallpaythesalary(includingallowances)duetotheforeign employeenotlaterthan7daysafterthelastdayofthesalaryperiod.Anysalary periodagreedbetweentheemployerandforeignemployeeshallnotexceedone month. 7. Exceptwheretheforeignemployeeisonno-payleaveoutsideSingapore, theemployershall,regardlessofwhetherthereisactualworkfortheforeign employee,andsubjecttoanywrittenlaw,paytheforeignemployeenolessthan thebasicsalaryamountdeclaredintheapplicationforaworkpermitsubmitted totheController. 8. Theemployershallbearanymedicalexpensesincurredbytheforeign employeeforanymedicalexaminationrequiredbytheController. 9. Theemployershallnotill-treattheforeignemployee,andshallnotcause orknowinglypermittheforeignemployeetobeill-treatedbyanyotherperson. Aforeignemployeeisill-treatedif (a)theforeignemployeeissubjectedtophysicalorsexualabuse,orto criminalintimidation; (b)theemployerorotherpersondoes,orcausestheforeignemployeeto do,anyactwhichcausesorislikelytocauseinjurytothehealthor safetyoftheforeignemployee; (c)theemployerorotherpersonneglectsorabandonstheforeignemployee incircumstanceswhichcauseorarelikelytocauseinjurytothehealth orsafetyoftheforeignemployee;or (d)theemployerorotherpersoncommitsanactdetrimentaltothewelfare oftheforeignemployee. 10. Theemployeroftheforeignemployeeshallgranttheforeignemployee (a)adequaterestdaily;and (b)wheretheworkpermitisissuedorrenewedbefore1stJanuary2013, restday(s)inaccordancewiththetermsoftheemploymentcontract betweenthem. 11. Paragraphs12,13and14shallapplytoanyworkpermitissuedonor after1stJanuary2013pursuanttoanyapplicationforneworrenewalworkpermit. 12. Subjecttoparagraph13,theemployershallgranttheforeignemployeea restdaywithoutpayforevery7-dayperiod(includingSundayandpublicholidays). Therestdaymustbeanydaywithinthe7-dayperiodandmustbemutuallyagreed betweentheemployerandtheforeignemployee. 13. Notwithstandingparagraph12,theemployerdoesnothavetogranta restdaytotheforeignemployeeifthereisapriorwrittenagreementmutually agreedbetweentheemployerandtheforeignemployee (a)fortheforeignemployeetoworkinlieuoftherestday;and (b)fortheforeignemployeetobecompensatedforworkinginlieuofthe restdaywitheither (i)areplacementrestdaywithoutpay.Thereplacementrestdaymust beadaywithinthesamemonthastherestdaytobetakenand mustbemutuallyagreedbetweentheemployerandtheforeign employee;or

Work Permit Application for a Foreign Domestic Worker

FOURTHSCHEDULEcontinued (ii)amonetarycompensationwhichshallnotbelessthantherate ofpayforonedaysworkoftheforeignemployee, andtheforeignemployeeiscompensatedinaccordancewiththepriorwritten agreement. 14. Forthepurposesofparagraphs12and13 (a)aSundayorpublicholidayshallberegardedasarestdayonlyifthe employerandforeignemployeemutuallyagreethattheSundayorpublic holidayisarestday; (b)ifa7-dayperiodreferredtoinparagraph12fallsbetween2months, theemployerandtheforeignemployeeshallmutuallyagreeonaday withineitherofthe2monthstobethereplacementrestday; (c)thepriorwrittenagreementreferredtoinparagraph13mustbemutually agreedbetweentheemployerandtheforeignemployeepriortothe foreignemployeeworkinginlieuoftherestday; (d)incalculatingtherateofpayforonedaysworkunderparagraph13(b)(ii), therateofpayforonedaysworkshallbetheforeignemployees monthlyrateofpaydividedby26;and (e)anymonetarycompensationprovidedinlieuoftherestdaymustbe paidbytheemployertotheforeignemployeetogetherwiththenext earliestmonthlysalaryduetotheforeignemployee. 15. Theemployershallnotcauseorknowinglypermittheforeignemployee tobeengagedinanyillegal,immoralorundesirableconductoractivity. 16. Theemployershallnotretainpossessionoftheforeignemployeesoriginal workpermitandvisitpassandshallallowtheforeignemployeetoretainpossession oftheforeignemployeesworkpermitandvisitpass. 17. TheemployershallinformtheControllerofanychangetotheemployers residentialaddressstatedintheworkpassapplicationformwithin14daysafter suchachange. 18. IftheforeignemployeedieswhileinSingapore,theemployershall (a)bearthecostofeither (i)burialofthebodyinSingapore; (ii)cremationofthebodyinSingaporeandreturnoftheashesto thecountryoforigin;or (iii)returnofthebodytothecountryoforigin, withtheforeignemployeesfamilydecidingonburial,cremationor returnofthebody; (b)bearthecostofreturningtheforeignemployeesbelongingstothe foreignemployeesfamily;and (c)paytotheadministratorsoftheforeignemployeesestateanyoutstanding salariesormoneysduefromtheemployertotheforeignemployee. 19. Theemployershallnotdemandorreceiveanysumorotherbenetfrom anemploymentagencyoranyotherpersoninconnectionwiththeemployment orchangeinemploymentofaforeignemployee.

Work Permit Application for a Foreign Domestic Worker

FOURTHSCHEDULEcontinued Cancellationofworkpermitandvisitpassanddutiesbeforeoruponrepatriation offoreignemployee 20. TheemployershallreturntheworkpermitandvisitpasstotheController within7daysafterthecancellationoftheworkpermit. 21. Subjecttoparagraph22,theemployershallrepatriatetheforeign employeetotheinternationalportofentrythataffordsreasonableaccesstothe foreignemployeeshometownwithintheforeignemployeeshomecountrywhen theworkpermitorvisitpassoftheemployeeexpiresoriscancelledorrevoked andiftheemployeeisnotearlieremployedbyanotheremployer.Intheeventof anydisputeabouttheinternationalportofentrytowhichtheforeignemployee shallberepatriated,thedisputeshallbereferredtotheController,whosedecision shallbenal. 22. Theemployermayrepatriatetheforeignemployeetoadestinationother thanthatspeciedinparagraph21 (a)iftheforeignemployeesorequests,andtheControllerisinformedby theemployeroftheemployersintentiontodoso,beforetherepatriation occurs;or (b)iftheControllersodetermines. 23. Theemployershallbearthecostassociatedwithrepatriatingtheforeign employeeatanytimeexceptwheretheControllerpermitsotherwise.Theemployer shallensurethatalloutstandingsalariesormoneysduefromtheemployerto theforeignemployeehavebeenpaidbeforetheforeignemployeesrepatriation.

PARTII

REGULATORYCONDITIONSTOBECOMPLIEDWITHBYEMPLOYER OFFOREIGNEMPLOYEEWHOISDOMESTICWORKERISSUEDWITH WORKPERMIT 1. Theemployershallcontrolandsupervisetheforeignemployee.Theforeign employeeshallbeundertheemployersdirectemployment. 2. Theemployershallnotpermittheforeignemployeetobeemployedbyor contractedtoanyotherpersonorbusinesstodoworkforthatpersonorbusiness. 3. Theemployershallemploytheforeignemployeetoonlyperformhousehold anddomesticdutiesattheresidentialaddressasstatedintheworkpermit. 4. Theemployershallpurchaseandmaintainmedicalinsurancewithcoverage ofatleast$15,000per12-monthperiodoftheforeignemployeesemployment (orforsuchshorterperiodwheretheforeignemployeesperiodofemployment islessthan12months)fortheforeignemployeesin-patientcareanddaysurgery exceptastheControllermayotherwiseprovidebynoticationinwriting. 5. Iftheforeignemployeesorequests,theforeignemployeessalaryshallbe paidthroughdirecttransferintotheforeignemployeesbankaccountinabank establishedinSingapore.Theemployershallmaintainarecordofthemonthly salarypaidtotheforeignemployeethatisaccessibletotheforeignemployee uponrequestandproducetherecorduponrequestbyanypublicofceracting inhisofcialcapacity.

Work Permit Application for a Foreign Domestic Worker

FOURTHSCHEDULEcontinued 6. Theemployershallsendtheforeignemployeeforamedicalexamination byamedicalpractitionerregisteredundertheMedicalRegistrationAct(Cap.174) asandwhendirectedbytheController. 7. Iftheforeignemployeecontravenesanyoftheworkpermitconditions applicabletotheforeignemployee,andtheemployerhasknowledgeofthe contravention,theemployershallinformtheControllerand,ifrequiredbythe Controller,applyforthecancellationoftheforeignemployeesworkpermitand visitpassandcomplywithanyotherinstructionfromtheControllerwithrespect tothecontravention. 8. TheemployershallpaythemonthlyforeignemployeelevythroughGeneral InterbankRecurringOrder(GIRO)orbysuchothermeansasmaybeapproved bytheControllerinwriting. 9. Iftheforeignemployeegoesmissing,theemployershallinformthe Controllerwithin7daysaftertheemployerbecomesawareoftheforeignemployee goingmissing. 10. IftheforeignemployeedieswhileinSingapore,theemployershallinform theControllerwithin12hoursaftertheemployerbecomesawareoftheforeign employeesdeath.

Cancellationofworkpermitandvisitpassanddutiesbeforeoruponrepatriation offoreignemployee 11. Theemployershallapplyforthecancellationoftheworkpermitand visitpassoftheforeignemployeewhentheemploymentoftheforeignemployee ceases.TheemployershallinformtheControllerinwritingwithin7daysafter suchcessationofemployment. 12. Theemployershallgivetheforeignemployeereasonablenoticeofthe foreignemployeesrepatriation. PARTVI

CONDITIONSTOBECOMPLIEDWITHBYFOREIGNEMPLOYEE ISSUEDWITHWORKPERMIT

Employment 1. Theforeignemployeeshallworkonlyfortheemployerspeciedandin theoccupationandsectorspeciedintheworkpermit. 2. Wheretheforeignemployeewhoseoccupationasstatedintheworkpermit isthatofadomesticworker,theforeignemployeeshallonlyperformhousehold anddomesticdutiesandresideattheemployersresidentialaddressorresidential premisesasstatedintheworkpermitandvisitpass. 3. Exceptforaforeignemployeewhoseoccupationasstatedinthework permitisthatofadomesticworker,theforeignemployeeshallresideatthe addressindicatedbytheemployertotheforeignemployeeuponthecommencement ofemploymentoftheforeignemployeeandshallinformtheemployeraboutany subsequentself-initiatedchangeinresidentialaddress. 4. Theforeignemployeeshallundergoamedicalexaminationbyamedical practitionerregisteredundertheMedicalRegistrationAct(Cap.174)asandwhen directedbytheController.

Work Permit Application for a Foreign Domestic Worker

FOURTHSCHEDULEcontinued 5. TheforeignemployeeshallreporttotheControllerasandwhenrequired bytheControllertodoso. Conduct 6. Theforeignemployeeshallnotgothroughanyformofmarriageorapply tomarryunderanylaw,religion,customorusagewithaSingaporecitizenor permanentresidentinoroutsideSingapore,withoutthepriorapprovalofthe Controller,whiletheforeignemployeeholdsaworkpermit,andalsoafterthe foreignemployeesworkpermithasexpiredorhasbeencancelledorrevoked. 7. Iftheforeignemployeeisafemaleforeignemployee,theforeignemployee shallnotbecomepregnantordeliveranychildinSingaporeduringandafterthe validityperiodofherworkpermit,unlesssheisaworkpermitholderwhois alreadymarriedtoaSingaporecitizenorpermanentresidentwiththeapproval oftheController. 8. Theforeignemployeeshallnotbeinvolvedinanyillegal,immoralor undesirableactivities,includingbreakingupfamiliesinSingapore.

The information is updated on 11 December 2012.