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Additional Information For On-Site Quarters

The document is a form for providing additional information about on-site worker quarters for a construction project. It requests details about the main contractor, workplace number, address of the site, type of quarters, project lead contact information, sanitation facilities, project type and timeline. The applicant must declare the information is true and correct and understand false declarations are punishable by law.

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Wanping Tang
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65 views1 page

Additional Information For On-Site Quarters

The document is a form for providing additional information about on-site worker quarters for a construction project. It requests details about the main contractor, workplace number, address of the site, type of quarters, project lead contact information, sanitation facilities, project type and timeline. The applicant must declare the information is true and correct and understand false declarations are punishable by law.

Uploaded by

Wanping Tang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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On-Site Quarters Additional Information Declaration

*delete accordingly.

**Please fill in all the details and save this document in PDF format for the application.

1)    Main-Con:

2)    Workplace No:

3)    TS/MK*:

4)    Lot/Plot*:

5)    Address/Road*:

6)    Workers’ quarters*: Temporary Buildings / Uncompleted Permanent Buildings

7)    Name of Person in-charge of Project:

8)    Designation of Person in-charge of Project:

9)    Mobile number of Person in-charge of Project:

10)  Email Address:

11)   No of Shower Points:

12)    No of Urinals:

13)    No of Water Closet:

14)    No of Wash Hand Basins:

15) Nature of Project*: HDB / Private / Commercial / Industrial / Others. If others, please specify:

16)  Date of commencement of project:

17)  Expected date of completion of project:

18)  Extended date for completion of project:

(Applicable only when project is not completed by the expected date of completion)

Undertaking

I declare that the information provided above is true and correct to the best of my knowledge and beliefs. I
understand that it is an offence under Section 22(1)(d) of the Employment of Foreign Manpower Act (EFMA), to provide
false information to the Ministry of Manpower. I also understand that offenders will be subjected to a fine of up to
$20,000, and/or 24 months jail.

Company Stamp
Name &
Designation

NRIC / FIN

Signature &
Date

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