The Government of the Republic of the Union of Myanmar
(1) Name *
(2) Other Name
(3) Father name *
(4) Mother name *
(5) Gender *
(6) Date of Birth *
MM
/
DD
/
YYYY
(7) Place of Birth *
eg. Yangon
(8) Religious *
(9) Passport No. *
(10) Date of issue (Passport) *
MM
/
DD
/
YYYY
(11) Issue of Place (Passport) *
eg. MOHA, Yangon
(12) Current Job *
(13) Work Pass No. / Visit No. / EP / PR/ SP Fin No. *
(14) Nationality *
(15) Date of Arrival to Singapore *
MM
/
DD
/
YYYY
(16) Purpose of Entry to Singapore *
eg. Work, Medical checkup , ... etc.
(17) Current Address in Singapore *
(18) Address in Myanmar *
(19) Contact phone number *
eg. +65 12345678
(20) Email address *
(21) Marital status *
Required
if Married,
(i) Name of Husband/ Spouse
(ii) Passport No. of Husband/ Spouse
(iii) Marriage Date
MM
/
DD
/
YYYY
(iv) Names of Children
(v) Country of Registration of Marriage
If Divorce ,
(i) Name of Ex-husband / Ex-spouse
(ii) Passport number of Ex-husband / Ex-spouse
(iii) Date of Divorce
MM
/
DD
/
YYYY
(iv) Names of Children
(v) Country of Registration of Divorce
Adoption (ေမြးစားျခင္း)
(i) Name of Adoptive child
(ii) Passport of Adoptive child
(iii) Date of Adoption
MM
/
DD
/
YYYY
(iv) Country of Registration
Death (ေသဆံုးျခင္း)
(i) Name Deceased Person
(ii) Date of Death
MM
/
DD
/
YYYY
(iii) Place of Death
(iv) Passport No. of Deceased Person
(v) Date of issued (Passport of Deceased Person)
MM
/
DD
/
YYYY
(vi) Place of issued (Passport of Deceased Person)
(vii) Myanmar NRIC No.
Birth (ေမြးဖြားျခင္း)
(i) Name of Child
(ii) Date of Birth
MM
/
DD
/
YYYY
(iii) Place of Birth
(iv) Name of Father
(v) Passport of Father
(vi) Myanmar NRIC No. of Father
(vii) Name of Mother
(viii) Passport of Mother
(ix) Myanmar NRIC No. of Mother
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