Identity Card No.:
Color:
Pink Blue
Type:
Singapore Malaysia
Place of Issue:
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Are you a Permanent Resident (PR) of Singapore?
Yes
No
If yes, please state year attained PR
Entry Permit No.
Expiry Date of Re-entry Permit dd/mm/yyyy
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(Not applicable to Singaporeans, Malaysians
and Singapore PRs)
Passport No.:
Place of Issue:
Date of Expiry: dd/mm/yyyy
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