Appendix (VP)

Reference No

AUTHORISATION TO OBTAIN AND VERIFY FINANCIAL INFORMATION

PROVIDED FOR APPLICATION OF VISIT PASS (LONG-TERM) rI STICNi6NE

(This option is not available for persons below 21 years oldr)

Please complete this form to give your consent for the lmmigration & checkpoints
Authority to obtain and verify financial information, including-any intormation'reraiing
to the income or items of income,_ provided in respect of this application for the
lran"t
of a Visit Pass under Regulation '12 of the lmmigiation Regulaiions with the lnla-nd
Revenue Authority of singapore and/or the central provident Fund Board of
Singapore.

lAffe* consent and authorise the rmmigration & checkpoints Authority to

g.bfll m:rllion and verifythe financiat information provided by me/us; iirespect
of this application from or with the lnland Revenue Authority of singapore and/or
the
central Provident Fund Board of Singapore, and for them to discloie the information
for the purpose of assessment of this apprication for the grant of a visit eass
Term). liong-

Name of Applicant FIN/Travel Document No.'

S ignature of Applicant Date

Name of Sponsor NRIC No

Signature of Sponsor Date

1
Hard copies of the rncome Tax Nolices of Assessment for the rast 3 years
and a statemenr from the
cPF Board showing the monthry "cpF contribution history" for tt
from persons below 2'l years old.
l".i t z months wifl be requir-o -
"
"
Delete where appropriate