FORM 4

APPLICATION FOR PERMANENT RESIDENCE IN SINGAPORE Affix a recent

This application is for an Entry Permit under Regulation 4 of the Immigration Regulations passport-sized
You may apply for permanent residence while in Singapore or abroad colour photograph
of Applicant here
This form may take you 20 minutes to fill in

PART A – TYPE OF APPLICATION

I am applying for the grant of an Entry Permit to enter and reside in Singapore as (select one only)
☐ I am the spouse/child of a Singapore Citizen
☐ I am the spouse/child of a Singapore Permanent Resident
☐ I am the parent of a Singapore Citizen
☐ Other reasons (please specify)______________________________________________________________
PART B – APPLICANT’S PARTICULARS FOR OFFICIAL USE

FIN No (if any) : I I__I__I__I__I__I__I__I__I

Identification Type and No. (for Malaysians only) Gender EP Category I__I__I__I
New ID No. : I I__I I__I I__I – I__I__I – I I__I__I__I ☐ Male

Old ID No. : I__I I__I__I__I I__I__I ☐ Female ENT/ I__I__I__I__I I__I/ I__I__I
Name in Travel Document. Please use BLOCK LETTERS Chinese Characters
(Underline Surname) (if applicable)

Alias (if any)

1. I__I__I__I__I I
Nationality / Citizenship Race Religion (Denomination)

2. I__I__I 3. I__I__I PASS TYPE : ______

Province / State & Country / Place of Birth Date of Birth

l__I I / I__I I / I__I I__I__I

Day Month Year
Present Residential Address in Singapore

Are you currently residing with the sponsor at the above address? ☐ Yes ☐ No I acknowledge receipt of original
documents presented for sighting
How long have you been residing with the sponsor at the above address? years months
(If the sponsor is your spouse and both of you are not living together, please provide reasons
on a separate sheet of paper.) Signature:___________________

Marital Status 1. Occupation Salary per Month Date: ______________________

a) Basic : S$____________
b) Gross : S$____________
2. Highest Academic Qualifications Attained 3. 1st Degree, Type and Class
Applicant’s Children (if applicable)
(if different from item 3) (e.g., B.A.(Hons) 2nd Upper / Diploma)

No. of children who are S’pore Citizens I__I I

☐ Part-time study ☐ Full-time study ☐ Part-time study ☐ Full-time study No. of children who are S’pore Permanent I__I I
Residents
Name of School / College / University Name of School / College / University
No. of children who have other nationalities / I__I I
(State Province / State & Country / Place) (State Province / State & Country / Place) citizenships

Type & Serial No. of Travel Document Held Date and Country / Place of Issue Date of Expiry

l__I I / I__I I / I__I I__I__I

Day Month Year
Address in Country / Place of Nationality / Citizenship

Signature of Applicant / Sponsor :_________________________

Page 1 of 8
 PART B – APPLICANT’S PARTICULARS (CONTINUED FROM PAGE 1)

LIST COUNTRIES / PLACES AND ADDRESSES IN WHICH APPLICANT HAS RESIDED DURING THE PAST 5 YEARS (TILL PRESENT DATE)

Period of Stay
(DD/MM/YYYY)
Address Country / Place
From To

IF RESIDENT* IN SINGAPORE (LIST IN CHRONOLOGICAL ORDER)

* any person who resides or had previously resided in Singapore by virtue of any immigration pass or permit or work permit.

Dates of Arrival Dates of Departure

Have you or has any one of the persons included in this application ever:

(a) Been prohibited from entering Singapore or any other country / place? ☐ Yes ☐ No

(b) Been asked/required to leave Singapore or any other country / place? ☐ Yes ☐ No

(c) Been refused entry into or deported from Singapore or any other country / place? ☐ Yes ☐ No

(d) Been convicted of or currently charged with a crime or offence in

i) Singapore? ☐ Yes ☐ No

ii) Any other Country / Place? ☐ Yes ☐ No

If your answer is “Yes” to any of the above, please provide a detailed explanation on a separate sheet of paper.
Have you or has any one of the persons included in Part E ever entered Singapore using other Passports
☐ Yes ☐ No
and different Particulars?

If ‘Yes’, please state Name and Date of Birth: ____________________________________________________

Type and Passport No: ____________________________________ Date of Issue: ____________________

Please provide detailed particulars of all passports used.

IF THE APPLICANT IS THE SPOUSE OF A SINGAPORE CITIZEN OR SINGAPORE PERMANENT RESIDENT, PLEASE FILL UP THIS PART

Did you provide money or any form of benefit, directly or indirectly to:

(i) your spouse, your spouse’s family or a third party in relation to the sponsoring of this
☐ Yes ☐ No
application?

(ii) your spouse, your spouse’s family or a third party for agreeing to enter into this marriage? ☐ Yes ☐ No

Did you enter into this marriage with your spouse to enable you to obtain long-term stay in Singapore? ☐ Yes ☐ No
If your answer is “Yes” to any of the above, please provide a detailed explanation in a separate sheet of paper.

Signature of Applicant / Sponsor :________________________

Page 2 of 8
PART C – PARTICULARS OF APPLICANT’S SPOUSE FOR OFFICIAL USE
(To be filled in only if applicant’s spouse is not the local sponsor)

FIN No (if any) : I I__I__I__I__I__I__I__I__I

Identification Type and No. (for Malaysians only) Applying for PR with you?

New ID No. : I I__I I__I I__I – I__I__I – I I__I__I__I EP Category I__I I__I
☐ Yes ☐ No
Old ID No. : I__I I__I__I__I I__I__I ENT/ I__I__I__I__I I__I/ I__I__I

Name in Travel Document in BLOCK LETTERS (Underline Surname) Chinese Characters

(if applicable)

Alias (if any) 1. I__I I__I__I__I

Gender Nationality / Citizenship Religion (Denomination)

2. l__I I 3. l__I I PASS TYPE : ___
☐ Male ☐ Female

Race Date of Birth Province / State & Country /

Place of Birth
l__I I / I__I I / I__I I__I__I
Day Month Year
Marriage Certificate No: Date of Marriage Country / Place of Marriage

l__I I / I__I I / I__I I__I__I

Day Month Year
Present Residential Address in Singapore 1. Occupation

2. Highest Academic Qualifications Attained 3. 1st Degree, Type and Class

(if different from item 3) (e.g., B.A.(Hons) 2nd Upper / Diploma)

☐ Part-time study ☐ Full-time study ☐ Part-time study ☐ Full-time study Salary per Month
Name of School / College / University Name of School / College / University a) Basic : S$_________________
(State Province / State & Country / Place) (State Province / State & Country / Place)

b) Gross : S$_________________

Type & Serial No. of Travel Document Held Date and Country / Place of Issue Date of Expiry

l__I I / I__I I / I__I I__I__I

Day Month Year
Present Whereabouts

Note: if deceased, give date of death

Signature of Applicant / Sponsor :________________________

Page 3 of 8
PART D – PARTICULARS OF APPLICANT’S PARENTS AND APPLICANT’S CHILDREN BY THE PRESENT MARRIAGE
Highest
Name in Travel (1) (2) (3) Travel Document Academic Country / *Applying
Document in BLOCK Date of Monthly Marital for PR
Relationship Birth Occupation Qualification Place of
LETTERS and FIN / ID Race Nationality / Country / Income Status with you?
(DD/MM/YYYY) Type Number (e.g. B.A.(Hons) Residence
Card No. Citizenship Place of Birth 2nd Upper) (Yes/No)

Father

Mother

Son / Daughter
(Child 1)

Son / Daughter
(Child 2)

Son / Daughter
(Child 3)

Son / Daughter
(Child 4)

EDUCATIONAL RECORDS OF CHILD 1 (IF APPLICABLE) EDUCATIONAL RECORDS OF CHILD 2 (IF APPLICABLE)

Year Highest Standard Year Highest Standard

School / Institution Country / Place of School / Institution Country / Place of
Passed (State number Passed (State number
Attended Study Attended Study
From To of “O”/“A” level passes) From To of “O”/“A” level passes)

Signature of Applicant / Sponsor :________________________

Page 4 of 8
 EDUCATIONAL RECORDS OF CHILD 3 (IF APPLICABLE) EDUCATIONAL RECORDS OF CHILD 4 (IF APPLICABLE)

Year Highest Standard Year Highest Standard

School / Institution Country / Place of School / Institution Country / Place of
Passed (State number Passed (State number
Attended Study Attended Study
From To of “O”/“A” level passes) From To of “O”/“A” level passes)

PART E – PARTICULARS OF APPLICANT’S ALL OTHER MARRIAGES (including customary marriages) AND CHILDREN (if not applicable please enter “N.A.”)

(1) Particulars of Other Marriages:

Name of Spouse Country / Place of Birth Date of Birth Date of Marriage Present Whereabouts *Date of Divorce/Decease
(DD/MM/YYYY) (DD/MM/YYYY) (DD/MM/YYYY)

(2) Particulars of All Children (by all other marriages/illegitimate children/adopted children) :

Travel Document Applying for

Country / Place of Date of Birth
Name of Children *Name of Father/Mother Present Whereabouts PR with you?
Birth (DD/MM/YYYY)
Type Number (Yes/No)

* Delete where applicable

Signature of Applicant / Sponsor :________________________

Page 5 of 8
PART F – SPONSOR’S PARTICULARS FOR OFFICIAL USE

Singapore Identity Card :

Gender

☐ Male ☐ Female
*Pink / Blue I I__I__I__I__I__I__I__I__I
* Delete where applicable
Name in Travel Document in BLOCK LETTERS (Underline Surname) Chinese Characters
(if applicable)

Alias (if any)

Nationality / Citizenship Race Relationship to Applicant

Country / Place of Birth Date of Birth Religion (Denomination)

l__I I / I__I I / I__I I__I__I

Day Month Year
Marriage Certificate No: Date of Marriage Country / Place of Marriage

l__I I / I__I I / I__I I__I__I

Day Month Year
1. Occupation Salary per Month
a) Basic : S$____________ 1. I__I I__I__I__I
b) Gross : S$____________

2. Highest Academic Qualifications Attained 3. 1st Degree, Type and Class

(if different from item 3) (e.g., B.A.(Hons) 2nd Upper / Diploma) 2. l__I I 3. l__I I PASS TYPE : ___

☐ Part-time study ☐ Full-time study ☐ Part-time study ☐ Full-time study

Name of School / College / University Name of School / College / University

4. l__I I 5. l__I I
(State Province / State & Country / Place) (State Province / State & Country / Place)

Present Residential Address in Singapore Telephone No.: Hand phone No.:

Residential : Office :

IF THE SPONSOR IS THE SPOUSE OF THE APPLICANT, PLEASE FILL UP THIS PART
Did you or your family receive money or any other form of benefit, directly or indirectly from
☐ Yes ☐ No
any person in relation to the sponsoring of this application?

If your answer is “Yes”, please provide a detailed explanation on a separate sheet of paper.

If the applicant is not the spouse of sponsor, please fill in this Part

Name of Sponsor’s Spouse Gender Date of Birth

☐ Male ☐ Female l__I I / I__I I / I__I I__I__I

Day Month Year
4. Highest Academic Qualifications Attained (if different from item 5) 5. 1st Degree, Type and Class (e.g., B.A.(Hons) 2nd Upper / Diploma)

☐ Part-time study ☐ Full-time study ☐ Part-time study ☐ Full-time study

Name of School / College / University Name of School / College / University
(State Province / State & Country / Place) (State Province / State & Country / Place)

6. Occupation Salary per Month

a) Basic : S$_________________
b) Gross : S$_________________

Signature of Applicant / Sponsor :________________________

Page 6 of 8
PART F – SPONSOR’S PARTICULARS (CONTINUED FROM PAGE 6)

Particulars of Sponsor’s All Other Marriages (Including Customary Marriages) :

Date of *Date of
Nationality / Country / Date of Birth Present
Name of Spouse Marriage Divorce/Decease,
Citizenship Place of Birth (DD/MM/YYYY) Whereabouts
(DD/MM/YYYY) where applicable

Name of Children to be included in this application:-

(1)______________________________________ Birth Cert. No : _________________________

(2)______________________________________ Birth Cert. No : _________________________

(3)______________________________________ Birth Cert. No : _________________________

(4)______________________________________ Birth Cert. No : _________________________

(5)______________________________________ Birth Cert. No : _________________________

(6)______________________________________ Birth Cert. No : _________________________

Affix recent photo(s) of children applying for Permanent Residence

(1) (2) (3)

(4) (5) (6)

Signature of Applicant / Sponsor :________________________

Page 7 of 8
PART G – DECLARATION OF APPLICANT

I hereby make an application for the grant of an Entry Permit under Regulation 4 of the Immigration
Regulations.

I declare that the particulars stated from Parts A to E and the documents submitted with it are true and
correct to the best of my knowledge and belief, and that I have not wilfully suppressed any material fact.

I hereby give my consent to the use of the same set of thumbprints and photograph, submitted in
respect of my application for immigration facilities, for the purpose of Identity Card registration, if
applicable.

I also hereby give my consent for your department to obtain and verify the information provided by me in
respect of this application, from or with any source, as you deem appropriate for the purpose of
assessment of my application for immigration facilities.

_________________________ _________________________________________
Date Signature or Right Thumb Impression of Applicant

PART H – DECLARATION OF SPONSOR

I declare that –

(a) the statements made by the applicant and myself in this application are true; and

(b) the applicant is not, to the best of my knowledge and belief, a member of any political party which has
been declared unlawful in Singapore.

I also hereby give my consent for your department to obtain and verify the information provided by me in
respect of this application, from or with any source, as you deem appropriate for the purpose of
assessment of my dependant's application for immigration facilities.

I understand that male children who are granted PR status under their parents’ sponsorship are
liable for National Service (NS) under the Enlistment Act. All NS-liable males aged 13 years old and above,
are required to obtain an Exit Permit (EP) when travelling overseas for 3 months or more. Renouncing or
losing one's PR status without serving or completing full-time NS would have an adverse impact on
any immediate or future applications to work or study in Singapore, or for Singapore citizenship or
PR status. Renouncing or losing one’s PR status without serving or completing full-time NS may also
adversely affect any immediate or future applications for renewal of Re-entry Permits made by one’s family
members or sponsors.

_________________________ _________________________________________
Date Signature or Right Thumb Impression of Sponsor

WARNING

IT IS AN OFFENCE UNDER THE IMMIGRATION ACT TO MAKE ANY

FALSE STATEMENT, REPRESENTATION OR DECLARATION IN
CONNECTION WITH THIS APPLICATION

Page 8 of 8
 Appendix – 2 (PR-FTS)

AUTHORISATION TO OBTAIN AND VERIFY FINANCIAL INFORMATION

PROVIDED FOR APPLICATION OF PERMANENT RESIDENCE IN SINGAPORE

(This option is not available for persons below 21 years old1)

Please complete this form to give your consent for the Immigration & Checkpoints
Authority to obtain and verify financial information, including any information relating to
the income or items of income, provided in respect of this application for the grant of
an Entry Permit under Regulation 4 of the Immigration Regulations with the Inland
Revenue Authority of Singapore and/or the Central Provident Fund Board of
Singapore.

We consent and authorise the Immigration & Checkpoints Authority to obtain

information and verify the financial information provided by us in respect of this
application from or with the Inland Revenue Authority of Singapore and/or the
Central Provident Fund Board of Singapore, and for them to disclose the information
for the purpose of assessment of this application for the grant of an Entry Permit.

Name FIN/NRIC No.*

Signature of Applicant Date

Name FIN/NRIC No.*

Signature of Sponsor Date

__________________________
1 Hardcopies of the Income Tax Notices of Assessment for the last 3 years and a statement from the CPF
Board showing the monthly “CPF contribution history” for the last 12 months will be required from persons
below 21 years old.
* Delete where appropriate

Sept 2012
Page 9 of 8