Please send the completed form via email: mbmf@muis.gov.sg or fax: 6359 1149.

Employer may keep the original MBMF Change Application Form for reference.

MOSQUE BUILDING AND MENDAKI FUND (MBMF)

CHANGE APPLICATION FORM

* Please write clearly and in CAPITAL LETTERS. Incomplete application form may delay process.
SECTION A – TO BE COMPLETED BY APPLICANT
Particulars of Applicant
Name (as in NRIC/Passport):
Residential Address: Postal Code:
NRIC / FIN / WP No: Home No:
Office No:
Email Address:
Mobile No:
Current Gross Monthly Salary Range:
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
< $1,000 > $1,000 to > $2,000 to > $3,000 to > $4,000 to > $6,000 to > $8,000 to > $10,000
$2,000 $3,000 $4,000 $6,000 $8,000 $10,000
Details of Change
☐ Opt-Out Reason(s) for Change:
☐ Change in Contribution Rate
Effective Date of Change: /_ (mm/yyyy)

[Note: Process takes 2 weeks from the receipt date of application form. You may wish to check with your employer whether your new MBMF contribution
rate is in time for your preferred effective month of the revision]
Change to Contribution Rate
[Note: This sub-section is only relevant if you are changing your MBMF contribution rate. You can ignore this sub-section if you are opting out of MBMF]
Mosque Building Component
$
(includes mosque building, upgrading and redevelopment) :

Revised Contribution to MBMF Religious Education Component: $

Mendaki Component: $
TOTAL: $

Signature of Applicant Date

SECTION B – TO BE COMPLETED BY EMPLOYER
Company Name:
Company Address: Postal Code:

Name of Company Email

Representative: Address:

Designation of Company Office No:

Representative: Fax No:

Signature of Company Representative Date Company Stamp

MBMF CONTRIBUTION RATES (AS OF 1 JUNE 2016)

MBMF Rates
Monthly Total Wages of Muslim Employees (Effective 1 June 2016)
< $1,000 $3.00 *
> $1,000 to $2,000 $4.50
> $2,000 to $3,000 $6.50
> $3,000 to $4,000 $15.00
> $4,000 to $6,000 $19.50
> $6,000 to $8,000 $22.00
> $8,000 to $10,000 $24.00
> $10,000 $26.00

Majlis Ugama Islam Singapura │Singapore Islamic Hub, 273 Braddell Road, Singapore 579702 │Tel: 6359 1459 │www.mbmf.sg | v2016