Checklist Application Form 14a Level 1 New
Checklist Application Form 14a Level 1 New
Application Form – 14A Duly Filled & Signed as per Passport Signature
Copy of VEVO status in Australia (printed in the past 1 month) from VEVO website :
https://www.homeaffairs.gov.au/busi/visas-and-migration/visa-entitlement-
verification-online-(vevo)
Confirmed flight and accommodation bookings (if not confirmed, please state planned
itinerary and accommodation in a letter)
(For business/conference purposes only) Printed evidence of business travel from your
employer or organization
Name:
Name as in Travel Document
Alias
D D M M Y Y Y Y Male Female
Country of Birth:
State/Province of Birth:
Nationality:
D D M M Y Y Y Y D D M M Y Y Y Y
Country of Issue:
Place of Issue:
Division/State/Province of Origin:
Prefecture of Origin
County/District of Origin
Address : ________________________________________________________________________________________________
Occupation:
Religion/Denomination: _____________________________________________________________________________________
How long do you intend to stay in Singapore ?* Up to 30 days More than 30 days
If your intended stay in Singapore is more than 30 days, please state the reason for your intended length of stay and the
duration.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Address in Singapore
Next-of-kin’s Place Relative’s Place Friend’s Place Hotel Others (Please Specify)______________
Did you reside in other countries, other than your country of origin, for one year or more during the last 5 years ?*
Yes No
(a) Have you ever been refused entry into or deported from any country, including Singapore? Yes No
(b) Have you ever been convicted in a court of law in any country, including Singapore? Yes No
(c) Have you ever been prohibited from entering Singapore? Yes No
(d) Have you ever entered Singapore using a different passport or name? Yes No
If any of the answer is “YES”, please furnish details on a separate sheet of paper
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 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.