PERSONAL PARTICULARS FORM PART I PERSONAL PARTICULARS Name as in NRIC/Passport Chinese Characters If married woman, state maiden name (Mr/Miss/Mdm) Aliases Chinese Characters NRIC No. Citizenship Citizenship Cert No. Date of Issue -compulsory if SC(by Reg) - compulsory if SC(by Reg) Date of Birth of Birth Race Religion/Specify denomination, if any Dialect Place of Worship Other Citizenship currently Permanent Residence Sex: *Male / Female Marital Status Held currently held *Single/Married/Separated/ (since when) (since when) Widowed/Divorced Present Address in Singapore (include Block and Postal District Nos.) Telephone Nos. Home: Cellular: Office: Email Address: FOR FOREIGNERS ONLY Types of Travel Document Held & Date of Issue Place of Issue Date of Expiry Number Address in Country of Origin FIN No. *Delete where applicable PART II COUNTRIES IN WHICH APPLICANT HAD RESIDED DURING THE PAST TEN YEARS
PERSONAL PARTICULARS FORM PART I PERSONAL PARTICULARS Name as in NRIC/Passport If married woman, state maiden name (Mr/Miss/Mdm) Chinese Characters Aliases Chinese Characters NRIC No. Citizenship Citizenship Cert No. -compulsory if SC(by Reg) Date of Issue - compulsory if SC(by Reg) Date of Birth of Birth Race Dialect Religion/Specify denomination, if any Place of Worship Other Citizenship currently Held (since when) Permanent Residence currently held (since when) Sex: *Male / Female Marital Status *Single/Married/Separated/ Widowed/Divorced Present Address in Singapore (include Block and Postal District Nos.) Telephone Nos. Home: Cellular: Office: Email Address: FOR FOREIGNERS ONLY Types of Travel Document Held & Number Date of Issue Place of Issue Date of Expiry Address in Country of Origin FIN No. *Delete where applicable PART II COUNTRIES IN WHICH APPLICANT HAD RESIDED DURING THE PAST TEN YEARS