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FIWPS111Eb_E2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYER'S COPY

MEIDA CONSTRUCTION PTE. LTD.


266 SERANGOON CENTRAL DRIVE
#05-255
SINGAPORE 550266

10 Jun 2023

NAME OF FOREIGN WORKER

Your application is approved RANA MOHAMMAD MASUD


WORK PERMIT NO.
0 63913162
Dear Sir/Madam PASSPORT NO.
EH0735649
DATE OF APPLICATION
We are pleased to inform you that RANA MOHAMMAD
07 JUN 2023
MASUD's Work Permit application has been approved in- CPF SUBMISSION NO
principle. Please bring your new worker to Singapore before this 200819153D - PTE - 01
approval expires on 08 Sep 2023. MONTHLY LEVY RATE
S$700
The next page lists the steps you need to take for your worker to SB TRANSMISSION REF NO

be issued a Work Permit card. Your worker can start work on the 3799115
second day of the arrival in Singapore while waiting for the steps
to be completed.

You must complete the steps within 14 days of the worker's


arrival. If you no longer wish to hire the worker, cancel the in-
principle approval to stop the levy charges and send the worker
home. If you do not take any action, we will eventually withdraw
the approval, and levy will be charged till then.

Yours sincerely

Penny Han (Mrs)


Controller of Work Passes

• You must comply with the conditions stated on this letter and the Employment of Foreign
Manpower Act, including the conditions and regulatory conditions in the Employment of
Foreign Manpower (Work Passes) Regulations 2012. MOM will take action on non-
compliance. You can read the rules at www.mom.gov.sg
• You must inform and ensure your worker is fully vaccinated, based on the COVID-19
vaccination requirements (https://www.mom.gov.sg/vac-reqmts) in accordance with the
following where applicable - the prevailing guidelines of the Singapore Ministry of Health
and Ministry of Manpower, or the Employment of Foreign Manpower (Work Passes)
Regulations 2012. If you fail to do so, we may take action against you, including cancelling
this approval.

Ministry of Manpower Work Pass Division


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FIWPS111Eb_E2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYER'S COPY

What you must do to get the Work Permit card:

Before they arrive After they get here


Check their employment details in the Work Within 14 days
Permit application form.
Send them to a Singapore-registered doctor
If there is an error, visit (www.mom.gov.sg/update- for their medical examination.
wp-details) to upload the supporting documents.
Make sure they bring along the medical examination
form (go to www.mom.gov.sg > search for full medical
Send them the Employee's Copy of the in- examination form for foreigner workers) and their in-
principle approval letter. principle approval letter.
It is their visa and must be shown to Immigration to Refer to www.mom.gov.sg/fw-me for the prevailing
enter Singapore. medical examination requirements.

Send them a copy of their employment Ask them to attend the Construction Safety
contract. Orientation Course or Apply Workplace
Safety and Health in Construction Sites
This contract must state their job scope, working days course.
and hours, basic monthly salary and terms such as
deductions and leave entitlements. If they already have the certificate, it must be valid for
at least 1 month from the date the work permit is
issued.
Buy a $5,000 security bond that is valid for
26 months from a bank or insurance
Some jobs require professional registration
company.
(e.g. medicine, law) or licensing (e.g.
Ensure your insurer sends MOM the bond before your massage establishment licensing from
worker arrives. Log in to WP Online > click Enquire > Police) to be carried out in Singapore. This
Security Bond Status to check. The bond must also
take effect when the worker arrives. If not, the worker approval does not exempt the pass holder or
will be refused entry and you will have to pay to send the employer from these requirements.
him/her home.

Log in to our Online Foreign Worker Address


Buy medical insurance (hospital care and Service (OFWAS) to register their Singapore
day surgery) of at least $15,000 coverage per residential address and mobile number.
year for them.

Book a slot with Onboard Centre Log in to WP Online to get the Work Permit
card issued.
Refer to www.mom.gov.sg/onboard-centre
For more details refer to
www.mom.gov.sg/issue-wp.

When your request has been approved,


please print the Notification Letter.
Follow the instructions on the Notification Letter to
receive the Work Permit card.

An SMS/email alert will be sent to you before


we deliver the card.

Ministry of Manpower Work Pass Division


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FIWPS111Eb_E2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYER'S COPY

• This letter does not grant the worker's stay in Singapore.

Ministry of Manpower Work Pass Division


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FIWPS111Eb_W2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYEE'S COPY

RANA MOHAMMAD MASUD


C/O
MEIDA CONSTRUCTION PTE. LTD.
266 SERANGOON CENTRAL DRIVE
#05-255
SINGAPORE 550266

10 Jun 2023

NAME OF FOREIGN WORKER

Your application is approved RANA MOHAMMAD MASUD


WORK PERMIT NO.
আপনার আেবেদন অনুমে মািদত হয়েয়েছেছ। 0 63913162

Before you leave home


Dear RANA MOHAMMAD MASUD আপিন বোিড়ি ছাড়িার পূর্ব ে বের্ণ

Your application for a Work Permit has been approved in- Check your employment details on
page 2.
principle. This letter is proof of this and you can:
• Use it as a visa to enter Singapore. পৃ ষ্ঠ া 2-এ থেকাকা চিঠাকুরিরর িবেস্তািরত তথেকয
• Start work on the second day of your arrival.
যাচিঠাই করুম ন ।

If you do not enter Singapore by 08 Sep 2023, this Within 14 days of your arrival
approval will expire. আপনার আগমেণর 14 িদেনর মেধ্য।

কােজের অনুমেমাদেনর জেনয আপনার করা আেবেদন নীতিতগতভােবে অনুমেমািদত The steps to receive your Work
হয়েয়েছেছ।এই িচিঠি এর প্রমাণ, এি িদেয়েছ আপিন যা করেত পারেবেন: Permit card must be completed.
• িসিঙ্গাপুমের প্রেবেেশের িভসিা িহয়েসিেবে এিেক বেযবেহয়ার করুমন আপনার কােজের অনুম ে মাদন পত্র (ওয়েছাকর্ণ
• িসিঙ্গাপুমের ৌপঁৌঁছােনার পরিদন ৌথেকেক কাজে শেুমরুম করুমন পারিমট কাড)র্ণ ) গ্রহয়েণর ধ্াপগুম ে লা অবেশেযই
সিম্পন্ন করেত হয়েবে।
আপিন 08 Sep 2023 তািরেখের মেধ্য িসিংগাপুম ে র না ৌপঁৌঁ ছােল, এই
অনুম ে মাদন ৌময়েছােদাত্তীতণর্ণ হয়েয়েছ যােবে।
Yours sincerely

Penny Han (Mrs)


Controller of Work Passes

• You must be fully vaccinated, based on the COVID-19 vaccination requirements (https://www.mom.gov.sg/vac-
reqmts) in accordance with the following where applicable – the prevailing guidelines of the Singapore Ministry of
Health and Ministry of Manpower, or the Employment of Foreign Manpower (Work Passes) Regulations 2012. If you
fail to do so, we may take action against you, including cancelling this approval.
িনম্নলিলিখেত িনয়েছম অনুমসিাের যথেকা - িসিঙ্গাপুমেরর স্বাস্থ্য মন্ত্রণালয় এবেং জেনশেিক্তি মন্ত্রণালেয়েছর প্রচিঠিলত িনেদর্ণ িশেকা অনুমসিাের অথেকবো িবেেদশেীত জেনশেিক্তি িনেয়েছাগ
(ওয়াকর্ণ পাসি) আইন 2012 অনুমসিাের প্রেযাজেয ৌক্ষেত্রেত্র, COVID-19-এর িকাদােনর আবেিশেযক শেেতর্ণ র (https://www.mom.gov.sg/vac-reqmts) উপর
িভিত্ত কের আপনােক অবেশেযই পিরপূর্বণরর্ণ েূর্ব প িকা িনেত হয়েবে ৷ আপিন যিদ এি করেত বেযথেকর্ণ হয়ন তেবে আমরা এই অনুমেমাদন বোিতল করা সিহয় আপনার
িবেপেক্ষেত্র বেযবেস্থ্া িনেত পাির৷
Ministry of Manpower Work Pass Division
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FIWPS111Eb_W2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYEE'S COPY

*063913162070623* SB Transmission Ref No:3799115

Check your employment details


If you find a problem, please contact your employer or employment agent.
আপনার চিঠাকুরিরর িবেস্তািরত যাচিঠাই করুম ন
ৌকান সিমসিযা ৌদখেেল, অনুমগ্রহয় কের আপনার িনেয়েছাগকতর্ণ া বো িনেয়েছাগকারীত এেজেেন্টের সিােথেক ৌযাগােযাগ করুমন।
Your particulars Your employment terms Your salary info
আপনার তথেকয আপনার চিঠাকুররীতর শেতর্ণ াবেলীত আপনার ৌবেতেনর তথেকয
Your name Housing provided Monthly salary
আপনার নাম থেকাকার জোয়েছগা ৌদয়েছা হয়য়েছ [Basic monthly salary + Fixed allowances – All monthly
RANA MOHAMMAD MASUD YES deductions]
মািসিক ৌবেতন
Date of birth / Sex Period of Work Permit [মূর্বল মািসিক ৌবেতন + িনিদর্ণ ষ্ট ভাতা – মােসি
জেন্ম তািরখে / িলঙ্গ ওয়েছাকর্ণ পারিমেটর ৌময়েছাদ ৌমাট কতর্ণ ন]
13 NOV 1994 / MALE 1 YEAR(S) S$ 1500
Nationality / Citizenship
Normal hours of work per week (excluding breaks) Basic monthly salary
জোতীতয়েছতা/নাগিরকত প্রিত সিপ্তােহয় স্বাভািবেক কমর্ণঘণ্টা (িবেরিত বোদ মূর্বল মািসিক ৌবেতন
BANGLADESHI S$ 1500
িদেয়েছ
Passport number 44.0 Fixed monthly allowances
পাসিেপাটর্ণ নম্বর Number of working days per week িনিদর্ণ ষ্ট মািসিক ভাতা
EH0735649 S$ 0
প্রিত সিপ্তােহয় ৌমাট কমর্ণিদবেসি
Work Permit number / FIN 5.500 Monthly housing, amenities and services deductions
ওয়েছাকর্ণ পারিমট নম্বর / FIN
Rate of pay overtime work মািসিক ঘর ভাড়িা, সিুমেযাগ-সিুমিবেধ্ািদ ও পিরেষেবো
0 63913162 / G2195142R
ওভারটাইেমর জেনয প্রদত্ত ভাতার হয়ার খেরচিঠ বোবেদ কতর্ণ ন সিমন্বয়েছ
Date of application S$ 11.80 S$ 0
আেবেদন পেত্রর তািরখে Daily basic rate of pay (for work on rest day/public Monthly deduction for others
07 JUN 2023 holiday) মািসিক অনযানয খেরচিঠ বোবেদ কতর্ণ ন সিমন্বয়েছ
Your employment info ৈদিনক মূর্বল ৌবেতেনর হয়ার (ছুমির িদন/সিরকাির S$ 0
আপনার চিঠাকুররীতর শেতর্ণ াবেলীত ছুমির িদেন কাজে করার জেনয
S$ 62.94
Name of employer
চিঠাকরীতদাতার নাম
MEIDA CONSTRUCTION PTE. LTD.
Industry
িশেল্পক্ষেক্ষেত্রত্র
CONSTRUCTION
Occupation
ৌপশো
CONSTRUCTION WORKER-CUM-
DRIVER
S'pore employment agency (EA)
িসিংগাপুমর এমপ্লয়েছেমন্টে এেজেন্সীত
N.A.
Agency fee for S'pore EA (exclude fees for overseas
expenses)
িসিঙ্গাপুমর এমপ্লয়েছেমন্টে এেজেিন্সর জেনয এেজেিন্স িফি
(িবেেদেশে হয়ওয়েছা খেরচিঠ বোবেদ িফি বোদ িদেয়েছ
N.A.

• Check that your approval is still valid. Go to MOM's website > Use the search bar to find 'Check work pass and application status'
eService.
আপনার অনুমেমাদন এখেনও ৈবেধ্ িকনা তা ৌদেখে িনন. MOM - এর ওেয়বেসিাইেট যান > 'Check work pass and application status' ই-সিািভর্ণ সি খেুমজেঁ েত
সিাচিঠর্ণ বোরি বেযবেহয়ার করুমন।
• Do not pay any fees for the $5000 security bond, levy, work permit application or renewal or cancellation, medical insurance or
examinations, training courses and the cost of your journey home. These fees are to be paid by your employer.
$5000 িসিিকউিরি বেন, ৌলিভ, কােজের অনুমেমাদেনর (ওয়েছাকর্ণ পারিমেটর) আেবেদন বো নবোয়েছন বো আেবেদন বোিতল, ৌমিড)েকল ইন্সুমেরন্স বো ড)াক্তিারীত
পরীতক্ষেত্রা, প্রিশেক্ষেত্রণ সিংক্রান্ত ৌকাসির্ণসিমূর্বহয়, এবেং আপনার ৌদেশে যাওয়েছা প্রভৃ িতর জেনয ৌকান টাকা ৌদেবেন না। এসিবে িফি আপনার িনেয়েছাগকরত্তা প্রদান করেবে।

Ministry of Manpower Work Pass Division


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FIWPS111Eb_W2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYEE'S COPY

Know your rights and responsibilities


আপনার অিধ্কার ও দায়েছদািয়েছত সিম্পেকর্ণ জোনুম ন

You can only work in Singapore as a / an CONSTRUCTION WORKER-CUM-DRIVER for MEIDA


CONSTRUCTION PTE. LTD..
আপিন িসিঙ্গাপুমের MEIDA CONSTRUCTION PTE. LTD.-এর জেনয ৌকবেল একজেন CONSTRUCTION WORKER-CUM-
DRIVER িহয়েসিেবে কাজে করেত পারেবেন।

Your employer can reduce your monthly salary only if you agree.
Do not sign on any documents if you do not agree. If your employer reduces your salary without your
agreement, you should approach MOM.
আপিন সিম্মত হয়েলই ৌকবেল আপনার িনেয়েছাগকতর্ণ া আপনার ৌবেতন কমােত পাের। আপিন সিম্মত না হয়েল ৌকান কাগেজে স্বাক্ষেত্রর করেবেন
না। িনেয়েছাগকতর্ণ া আপনার সিম্মিত ছাড়িা ৌবেতন কমােল, আপনার উিচিঠত MOM- এ আসিা।

You or your employer can end your employment at any time with sufficient notice.
If you go missing during employment, your employer can cancel your Work Permit. If you continue to be
in Singapore, you may be fined, jailed or caned for overstaying.
উপযুমক্তি ৌনািশে িদেয়েছ আপিন বো আপনার িনেয়েছাগকতর্ণ া উভয়েছই ৌয ৌকান সিময়েছ আপনার চিঠাকরীত ৌশেষে করেত পােরন।
কােজে িনযুমক্তি থেকাকাকালীতন যিদ আপনার ৌখেঁাজে না পাওয়েছা যায়েছ আপনার িনেয়েছাগকতর্ণ া আপনার কােজের অনুমেমাদন (ওয়েছাকর্ণ পারিমট)
বোিতল করেত পারেবেন। আপিন এরপরও িসিঙ্গাপুমের থেকাকেল বোড়িিত সিময়েছ থেকাকার জেনয আপনােক ৌজেল, জেিরমানা অথেকবো ৌবেত্রাঘাত করা
হয়েত পাের।

Ministry of Manpower Work Pass Division


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FIWPS111Eb_W2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYEE'S COPY

Know your rights and responsibilities


আপনার অিধ্কার ও দায়েছদািয়েছত সিম্পেকর্ণ জোনুম ন

You must obey the Employment of Foreign Manpower Act and the Conditions of Work Permit. If
you don't, MOM can revoke your Work Permit, prosecute and send you home.
You may read the rules at www.mom.gov.sg.
আপনােক অবেশেযই ‘এমপ্লয়েছেমন্টে অবে ফিেরন মযানপাওয়েছার এযাক্ট’ ও ‘কােজের অনুমেমাদেনর (ওয়েছাকর্ণ পারিমেটর) শেতর্ণ াবেলীত’ ৌমেন চিঠলেত
হয়েবে। আপিন এগুমেলা ৌমেন না চিঠলেল, MOM আপনার কােজের অনুমেমাদন (ওয়েছাকর্ণ পারিমট) বোিতল করেত পাের, আপনােক িবেচিঠােরর
আওতায়েছ আনেত পাের ও ৌদেশে ৌফিরত পাঠােত পাের।আপিন www.mom.gov.sg-ৌত িনয়েছমাবেলীতগেুম লা পড়িেত পােরন।

If you use an agent in your home country/region, be careful about fees and promises.
The Singapore Government is unable to help you with disputes with your agent in your home
country/region.
আপিন িনজে ৌদেশে ৌকান এেজেেন্টের সিহয়ায়েছতা স্বেদেশের/অঞ্চলেলর, িফি ও প্রিতশ্রুতিতর িবেষেেয়েছ সিতকর্ণ থেকাকুরন।
স্বেদেশের/অঞ্চলেলর িনজে ৌদেশে এেজেেন্টের সিােথেক ৌকান িবেেরােধ্র ৌক্ষেত্রেত্র িসিঙ্গাপুমর সিরকার আপনােক সিহয়ায়েছতা করেত অক্ষেত্রম ।

If you work more than the normal hours of work indicated in the table below, your employer
must pay you the rate of pay for overtime work for each extra hour worked.
আপনােক যিদ িনেজের িনেয়েছাগ চিঠুমিক্তিেত উেল্লেখিখেত সিমেয়েছর ৌচিঠেয়েছ ৌবেিশে সিময়েছ ধ্ের কাজে করেত হয়য়েছ, তাহয়েল ৌসিটা ওভারটাইম ওয়েছাকর্ণ
িহয়েসিেবে গণয করা হয়য়েছ।
আপনার িনেয়েছাগকতর্ণ ার অবেশেযই ওভারটাইেমর জেনয কাজে করা প্রিতি অিতিরক্তি ঘন্টোর হয়ার অনুমযায়েছীত ৌবেতন প্রদান করা উিচিঠত।

If you work Normal hours of work


আপিন যিদ কাজে কেরন কাজে করার স্বাভািবেক সিময়েছ
5 days or less a week 9 hours per day or 44 hours a week
সিপ্তােহয় 5 িদন বো কম প্রিতিদন 9 ঘন্টো বো সিপ্তােহয় 44 ঘন্টো
More than 5 days a week 8 hours per day or 44 hours a week
সিপ্তােহয় 5 িদেনর ৌবেিশে প্রিতিদন 8 ঘন্টো বো সিপ্তােহয় 44 ঘন্টো

Ministry of Manpower Work Pass Division


Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 4 of 6
FIWPS111Eb_W2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYEE'S COPY

Know your rights and responsibilities


আপনার অিধ্কার ও দায়েছদািয়েছত সিম্পেকর্ণ জোনুম ন

Your employer must give you one rest day each week with no pay.
If your employer asks you to work on your rest day, you must be paid 2 times your daily basic rate of
pay.
আপনার িনেয়েছাগকারীত অবেশেযই আপনােক প্রিত সিপ্তােহয় িবেনা ৌবেতেন িবেশ্রােমর জেনয একিদন ৌদেবেন।
আপনার িনেয়েছাগকারীত যিদ আপনােক িবেশ্রােমর িদন কাজে করেত বেেলন, তেবে আপনােক অবেশেযই আপনার ৈদিনক মূর্বল ৌবেতেনর হয়ােরর
২ গুমণ ৌবেতন পিরেশোধ্ করেবেন।

There are 11 public holidays every year. You must be paid your gross rate of pay even if you do
not work on a public holiday.
If your employer asks you to work on a public holiday, they must pay you 2 times the daily basic rate of
pay, or give you a day off.
প্রিত বেছর ১১ িদন সিরকাির ছুম ি আেছ। আপিন ৌকােনা সিরকাির ছুম ির িদন কাজে না করেলও আপনােক অবেশেযই ৌমাট ৌবেতেনর হয়াের
ৌবেতন িদেত হয়েবে।
আপনার িনেয়েছাগকারীত যিদ আপনােক সিরকাির ছুম ির িদন কাজে করেত বেেলন, তেবে আপনােক অবেশেযই আপনার ৈদিনক মূর্বল ৌবেতেনর
হয়ােরর ২ গুমণ ৌবেতন পিরেশোধ্ করেবেন, অথেকবো একিদন ছুম ি ৌদেবেন

Your employer must take care of your safety, health and well-being.
You should have a safe work place, proper housing and medical care.
আপনার িনেয়েছাগকারীত অবেশেযই আপনার িনরাপত্তা, স্বাস্থ্য ও কলযােণর িবেষেেয়েছ যত্নবোন হয়েবেন।
আপনার অবেশেযই একি িনরাপদ কমর্ণস্থ্ল, যথেকাযথেক আবোসিন ও ৌমিড)েকল ৌসিবো থেকাকেত হয়েবে।

• Once you start work, your employer must give you a written copy of key employment terms within 14 days. It should state your job
scope, working days and hours, basic monthly salary and terms such as deductions and leave entitlements.
আপিন কাজে শেুমরুম করার পর, আপনার িনেয়েছাগকারীত অবেশেযই আপনােক ১৪ িদেনর মেধ্য িলিখেতভােবে চিঠাকুররীতর শেতর্ণ াবেলীত প্রদান করেবেন। এখোেন অবেশেযই
আপনার চিঠাকুররীতর দািয়েছত, কমর্ণিদবেসি ও কমর্ণঘণ্টা, মূর্বল মািসিক ৌবেতন এবেং কতর্ণ ন ও ছুমির িবেষেেয়েছর মেতা শেতর্ণ াবেলীত উেল্লেখখে থেকাকেত হয়েবে।

Ministry of Manpower Work Pass Division


Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 5 of 6
FIWPS111Eb_W2 – IPA Work Permit 0 63913162 / 07 JUN 2023 EMPLOYEE'S COPY

Receive your Work Permit card


আপনার কােজের অনুমে মাদন পত্র গ্রহয়ণ করুমন

Once you arrive in Singapore, your employer must complete the following steps within 14 days.
Otherwise, this approval will be withdrawn and you may be sent home.
িসিঙ্গাপুমের ৌপঁৌঁছােনার পর, আপনার িনেয়েছাগকতর্ণ ােক অবেশেযই 14 িদেনর মেধ্য িনেম্নলাক্তি ধ্াপগুমেলা সিম্পন্ন করেত হয়েবে। অনযথেকায়েছ, এই
অনুমেমাদন প্রতযাহয়ার করা হয়েবে এবেং আপনােক ৌদেশে ৌফিরত পাঠােনা হয়েত পাের।

Arrange a medical examination for you.


You must pass the examination to work in Singapore.
আপনার ড)াক্তিাির পরীতক্ষেত্রা সিম্পন্ন করুমন।
িসিঙ্গাপুমের কাজে করেত ৌগেল আপনােক অবেশেযই পরীতক্ষেত্রায়েছ পাশে করেত হয়েবে।

Arrange for you to attend the Construction Safety Orientation Course or Apply Workplace Safety
and Health in Construction Sites course, if you do not have a certificate that is valid for at least 1
month.
আপনার যিদ কমপেক্ষেত্র 1 মাসি ৌময়েছাদীত ৌকান সিাির্ণ িফিেকট না থেকােক ৌসিেক্ষেত্রেত্র িনমর্ণাণ িশেল্পক্ষ িনরাপত্তা িবেষেয়েছক ৌকাসির্ণি সিম্পন্ন করুমন ।

Apply for your Work Permit card to be issued and delivered.


আপনার কােজের অনুমেমাদন পত্র(ওয়েছাকর্ণ পারিমট কাড)র্ণ)ইসিুময করা ও ৌড)িলভাির করার জেনয আেবেদন করুমন।

Ministry of Manpower Work Pass Division


Web http://www.mom.gov.sg Contact Us http://www.mom.gov.sg/contact Page 6 of 6
APPLICATION FOR A WORK PERMIT

USER ID :3799115
USER NAME :MEIDA CONSTRUCTION PTE. LTD.
WPNO :0 63913162 DOA :07/06/2023
COMPANY CPF SUBMISSION NO. :200819153D - PTE - 01 DATE / TIME :16 June 2023 05:48 PM

PART I PERSONAL PARTICULARS OF FOREIGN EMPLOYEE


*06391316207062023*
NAME :RANA MOHAMMAD MASUD
DATE OF BIRTH :13/11/1994
NATIONALITY / CITIZENSHIP :BANGLADESHI COUNTRY / REGION OF :BANGLADESH
BIRTH
STATE / PROVINCE : PLACE / STATE / PROVINCE :
where the foreigner obtained his / her nationality OF BIRTH
/ citizenship
MARITAL STATUS :SINGLE SEX :MALE
RACE :BANGLADESHI RELIGION :MUSLIM
MALAYSIAN OLD IC NO. : COLOR OF IC :
PRC IC NO. : MALAYSIAN NEW IC NO. :
BANGLADESH BIRTH :19948121006001162 FIN :G2195142R
REGISTRATION NO.
TRAVEL DOCUMENT NO. :EH0735649 TRAVEL DOCUMENT TYPE :PASSPORT
TRAVEL DOCUMENT EXPIRY :15/03/2026 ENDORSEMENT TYPE :NOT IN SINGAPORE
DATE
EDUC :SEC4 5 'O' WITH ENGLISH
YEARS OF WORKING EXP : NAME OF INSTITUTION :
EXPIRY DATE OF LTVP :
CATEGORY OF WORKER'S : IS WORKER PREVIOUSLY A :NO
LTVP / DP SINGAPORE CITIZEN OR
PERMANENT RESIDENT
FATHER'S NAME :ABDUL HASHEM
MOTHER'S NAME :MSI KOHINUR BECUM
HAS WORKER EVER BEEN :NO
ARRESTED IN ANY COUNTRY /
REGION OR STATE BEFORE?
HAS WORKER EVER BEEN :NO
CONVICTED IN ANY COUNTRY /
REGION OR STATE OF AN
CRIMINAL OFFENCE BEFORE?

Addresses for the past 10 years Year of stay


Current address DAKKHIN MILIK RACHA BACHA, RAJSHAHI 1994 till current

Address 1

Address 2

Address 3

Address 4

Address 5

FIWPS549 Page 1 of 6
WPNO : 0 63913162 DOA : 07/06/2023

PARTICULARS OF EMPLOYMENT
EMPLOYMENT STATUS :EMPLOYEE
NAME OF EMPLOYER :MEIDA CONSTRUCTION PTE. LTD.
OCCUPATION CODE :71199C
OCCUPATION DESCRIPTION :CONSTRUCTION WORKER-CUM-DRIVER
BASIC MONTHLY SALARY : S$1500 HOUSING PROVIDED : YES
FIXED MONTHLY ALLOWANCES : NO FIXED MONTHLY DEDUCTIONS : NO
HOUSING, AMENITIES, & SERVICES ALLOWANCES : S$0 HOUSING, AMENITIES, & SERVICES : S$0
DEDUCTIONS
TRANSPORT ALLOWANCES : S$0 OTHER DEDUCTIONS : S$0
OTHER ALLOWANCES : S$0 TOTAL FIXED MONTHLY DEDUCTIONS : S$0
TOTAL FIXED MONTHLY ALLOWANCES : S$0 MONTHLY SALARY AFTER TAKING INTO : S$1500
ACCOUNT
FIXED MONTHLY SALARY : S$1500 FIXED MONTHLY ALLOWANCES AND
DEDUCTIONS
WORKING HOURS PER WEEK (EXCLUDING BREAKS) : 44.0 Hours WORKING DAYS PER WEEK : 5.500 Days
RATE OF PAY FOR EACH HOUR OF OVERTIME : S$11.80 per hour DAILY BASIC RATE OF PAY (FOR WORK S$62.94
WORK DONE ON EACH REST DAY/PUBLIC
HOLIDAY)
VETTING AUTHORITY : SUPPORT FROM :
VA?
TRAINING DURATION :
SUPPORT AUTHORITY :

PARTICULARS OF FOREIGN EMPLOYEE'S SPOUSE


WORKER MARRIED TO SC / SPR :
NAME :
DATE OF MARRIAGE : PLACE OF MARRIAGE :
DATE OF BIRTH : NATIONALITY / CITIZENSHIP :
RESIDENTIAL STATUS : COLOR OF IC :
IC NO. (SC / SPR) : DATE OF SPR ISSUANCE :
MALAYSIAN OLD IC NO. : MALAYSIAN NEW IC NO. :
PASSPORT NO. :

FIWPS549 Page 2 of 6
WPNO : 0 63913162 DOA : 07/06/2023

PART I (A) DECLARATION BY FOREIGN EMPLOYEE


I declare that -
(a) I have read and understood the applicable conditions of work permit, as specified in the Employment of Foreign Manpower (Work
Passes) Regulations c.91A, available at www.mom.gov.sg.
(b) I have / have never* been convicted in any country/region or state of an criminal offence (if applicable, please provide details)
*Delete accordingly
(c) I consent, for the purposes of assessing this Application for a work permit, and the administration of work pass matters,
• For the Government of Singapore and statutory authorities to obtain from and verify information (including my medical
records and information relating to them) with any person, organisation or any other source, and
• To the release of all information obtained (including my medical records and information relating to them) to the
Government of Singapore, statutory authorities and their agents.
(d) The information as set out in PART I is true and correct; and that all documents I have submitted in support of this application for
a Work Permit are true copies of the authentic documents.
(e) I am aware that if I have stated or provided any information within this Declaration that I know to be false or do not believe to be
true, I may be subject to enforcement action including prosecution, the cancellation of the in-principle approval and the revocation
of my Work Permit.
(f) For the purposes of setting up my: (i) bank account and electronic fund transfer service account linked to the said bank account
(such as PayNow); and (ii) free Migrant Workers' Centre (MWC) membership, as part of this work permit application, I consent to
the Ministry of Manpower sending my personal particulars and work permit information to POSB and MWC.
(g) I consent to my personal data being collected, used and retained by Migrant Workers' Centre (MWC) for the purposes of
processing, administering and managing my MWC membership and my participation in MWC's programs and activities.
(h) I understand that a SingPass will help me to access Government e-services in Singapore and I give my consent to the Ministry of
Manpower to share my personal particulars with the SingPass issuing agency. This allows me to apply for a SingPass account at
a later time.
(i) I consent to the Ministry of Manpower displaying my work pass details when my work pass card is scanned using the Ministry of
Manpower's work pass mobile application.
(j) I give my consent for the Ministry of Manpower to use my contact details to contact me during emergencies and to send me
messages related to my work pass and employment in Singapore. I also consent for the Ministry of Manpower to share my
contact details with other Government agencies and statutory authorities for the same purposes.
(k) I declare that in relation to my COVID-19 vaccination status, I am fully vaccinated according to the vaccination requirements
stated in our website at: https://www.mom.gov.sg/vac-reqmts.

This is undertaken in accordance with the following where applicable – the prevailing guidelines of the Singapore Ministry of
Health and Ministry of Manpower, or the Employment of Foreign Manpower (Work Passes) Regulations 2012.

To meet the requirements above, I declare that I have read the guidelines contained in https://www.mom.gov.sg/vac-reqmts.
Signature of Foreign Employee

Date: (DD-MM-YYYY)

FIWPS549 Page 3 of 6
WPNO : 0 63913162 DOA : 07/06/2023

PART II PARTICULARS OF COMPANY OR EMPLOYER

MAIN CONTRACTOR / SHIPYARD :


CPF SUBMISSION NO. OF MAIN SHIPYARD / MAIN CONTRACTOR :
NAME :MEIDA CONSTRUCTION PTE. LTD.
ADDRESS :266 SERANGOON CENTRAL DRIVE
#05-255
SINGAPORE 550266
BUSINESS ACTIVITY :GENERAL CONTRACTORS (BUILDING CONSTRUCTION
INCLUDING MAJOR UPGRADING WORKS)

CPF SUBMISSION NO. :200819153D - PTE - 01 REGISTRATION NO. :200819153D PRIOR APPROVAL :PU32307100
(ACRA) REF NO.
TELEPHONE :62877573 FAX :62877571

TEMPORARY PERMIT UPON APPROVAL OF APPLICATION? : NO

CHANGE OF EMPLOYER
IS CONSENT GIVEN FOR TRANSFER? :
NAME OF CURRENT EMPLOYER :

PART II (A) DECLARATION BY EMPLOYER

WP NO. : 0 63913162 DOA : 07/06/2023


NAME OF WORKER : RANA MOHAMMAD MASUD
CPF SUBMISSION NO. : 200819153D - PTE - 01
NAME OF EMPLOYER : MEIDA CONSTRUCTION PTE. LTD.

I declare that I am authorised to bind the employer for the foreign employee named in PART I to the following -
(a) I have read and understood the applicable conditions and regulatory conditions of work permit, as specified in the
Employment of Foreign Manpower (Work Passes) Regulations c.91A, available at www.mom.gov.sg.
(b) The employer consents, for the purpose of assessing this application, for the Government of Singapore and its statutory
authorities to obtain from and verify information with any person, organisation or any other source. The employer also
consents to the disclosure of all information thereby obtained by the Government of Singapore, to statutory authorities and
authorised agents.
(c) The employer is aware that the Controller of Work Passes uses its Central Provident Fund contribution information to
determine the number of local workers employed by the employer hence determining the number of foreign employees that
it may employ. The employer has ensured that its Central Provident Fund contribution record of payments as employer
required under the Central Provident Fund Act (Cap.36) only reflects every citizen or permanent resident of Singapore who
is employed by the employer and at the appropriate contribution rate prescribed by law. The employer has made any
voluntary CPF contributions only through a separate CPF Submission Number (CSN).
(d) The employer has obtained written consent from the foreigner to apply for a Work Permit for him/her. I will produce this
consent when requested by the authority.
(e) The employer has ensured that the foreign employee fully understands the contents of PART I and that it was signed by the
foreign employee.
(f) For the purpose of setting up the foreign employee's bank account as part of this work permit application, I consent to the
Ministry of Manpower sending the employer's particulars and contact information to POSB.
(g) The employer consents to the Ministry of Manpower displaying work pass details when the foreign employee's work pass
card is scanned using the Ministry of Manpower's work pass mobile application.
(h) The employer has / has not* used the services of an Employment Agency based in Singapore for the recruitment and / or
application of a work permit for this foreign employee.
*Delete (If applicable: Employment Agency Licence No: ___________________________________. Please also ensure that the
accordingly employment agency completes PART III).
(i) The information as set out in PART II and any appeals the employer has made in relation to this application are, to the best
of my knowledge, true and correct; and that all documents submitted in support of this application and any appeals made in
relation to this application, are true copies of the authentic documents.
(j) In relation to the COVID-19 vaccination status of the foreign employee, I declare that I will inform and ensure that the foreign
employee is fully vaccinated according to the vaccination requirements stated in our website at:
https://www.mom.gov.sg/vac-reqmts.

This is undertaken in accordance with the following where applicable - the prevailing guidelines of the Singapore Ministry of
Health and Ministry of Manpower, or the Employment of Foreign Manpower (Work Passes) Regulations 2012.

To meet the requirements above, I declare that I have read the guidelines contained in https://www.mom.gov.sg/vac-reqmts.

FIWPS549 Page 4 of 6
Name of Authorised Representative:

NRIC:
Designation:
Signature:

Date: (DD-MM-YYYY)

FIWPS549 Page 5 of 6
PART III PARTICULARS OF SINGAPORE EMPLOYMENT AGENCY AND DECLARATION OF FEES PAYABLE

IS A SINGAPORE EMPLOYMENT AGENCY USED FOR THE PURPOSES OF THIS APPLICATION FOR RANA MOHAMMAD MASUD
(WP NUMBER: 0 63913162) : NO

NAME OF SINGAPORE : _____________________________________ LICENCE NO. : _______________


EMPLOYMENT AGENCY
OPERATING ADDRESS : _____________________________________ TELEPHONE : _______________

FEE PAYABLE TO SINGAPORE EMPLOYMENT AGENCY

ANY FEES PAID BY THE EMPLOYEE TO THE SINGAPORE EMPLOYMENT AGENCY:

FEES FOR COSTS INCURRED : S$


OVERSEAS
AGENCY FEE : S$

PART III (A) DECLARATION BY SINGAPORE EMPLOYMENT AGENCY (applicable if the employer has used the services of a
Singapore Employment Agency.)

I declare that -

(a) I, the undersigned, am the Employment Agency personnel handling this application.
(b) I declare that I have obtained written consent from the employer and the foreigner to perform this transaction. I will produce this
consent when requested by the authority.
(c) I have explained the contents of the application and the applicable conditions and regulatory conditions of work permit, as
specified in the Employment of Foreign Manpower (Work Passes) Regulations c.91A to the foreign employee and the authorised
officer of the employer.
(d) The information as set out in this application and any appeals I have made in relation to this application is, to the best of my
knowledge, true and correct; and that all documents I have submitted in support of this application and any appeals I have made
in relation to this application, are true copies of the authentic documents.
(e) I declare that I have informed the employer of this foreign employee, that in relation to the COVID-19 vaccination of the foreign
employee, the employer will inform and ensure that the foreign employee is fully vaccinated as per the vaccination requirements
stated in our website at: https://www.mom.gov.sg/vac-reqmts.

This is undertaken in accordance with the following where applicable - the prevailing guidelines of the Singapore Ministry of Health
and Ministry of Manpower, or the Employment of Foreign Manpower (Work Passes) Regulations 2012.

To meet the requirements above, I declare that I have read the guidelines contained in https://www.mom.gov.sg/vac-reqmts.

Name of Employment Agency Personnel:

Employment Agency Personnel Number:

Signature:

Date: (DD-MM-YYYY)

FIWPS549 Page 6 of 6

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