SB No.

: 202002040277 Work Pass Division

CPF Submission No. : T07CC3012G - PTE - 01 Ministry of Manpower
18 Havelock Road
Date : 23/01/2020 Singapore 059764
Telephone : (65) 64385122
Facsimile : (65) 63171329
Website : http://www.mom.gov.sg
Email : mom_wpd@mom.gov.sg

THE SALVATION ARMY

20 BISHAN STREET 22
SALVATION ARMY
SINGAPORE 579768

Dear Sir / Madam

Acknowledgement Letter for Receipt of Banker's / Insurance Guarantee

Guarantee is obtained from : AXA INSURANCE PTE LTD

Guarantee No. : NFB/41014/2020
Effective From : 04/02/2020
Valid Till : 03/04/2022
No. of Workers : 6
Total Amount : $30,000.00

This letter serves as an acknowledgement that you have furnished the Security Bond (SB) in banker's / insurance guarantee
(IG/BG) for the worker(s) listed in the schedule of listing.

2 Please note that SB furnished after the foreign worker's arrival will not be accepted by the Immigration & Checkpoints Authority
(ICA) for granting of entry to the foreign worker(s).

3 Your foreign worker(s) will be refused entry and the cost of custody / care and repatriation will be recovered from the employer.

Yours faithfully,
Work Pass Division
Ministry of Manpower

(As this is a computer generated letter, no signature is required)

FIWPS343a
 SCHEDULE LISTING

SB No.: 202002040277 Guarantee No.: NFB/41014/2020 Effective Date: 04/02/2020

Name Of Employer : THE SALVATION ARMY
Address of Employer : 20 BISHAN STREET 22 SALVATION ARMY SINGAPORE 579768
S/N Name of Foreign Worker Passport No. Nationality Date of Birth Work Permit No. DOA
1 APRIANI C3058648 INDONESIAN 06/04/1998
*009847723210120*
009847723210120
2 ELIA SISKA NUGRAHANI C4909125 INDONESIAN 12/08/1995
*009847715210120*
009847715210120
3 MUTIARA TIRTA RAHAYU AS
PUTRI
C1692984 INDONESIAN 01/06/1998
*009847642210120*
009847642210120
4 NOER APRILLIA YUFI PUTRI
YULIANTO
C4438191 INDONESIAN 15/04/1998
*009847790210120*
009847790210120
5 SAVIRA REGINA PUTRI C1703795 INDONESIAN 05/11/1997
*009847758210120*
009847758210120
6 SEKAR AYU HANANDA C1703796 INDONESIAN 06/08/1998
*009847677210120*
009847677210120

FIWPS343a