Singapore Maids Employment Application Form

Application Form

Only for employer who has confirmed/ hired a helper through our agency.

Strictly Private and Confidential - For Work permit Application and Filling Purposes Only

Please contact our customer service staff for more information

Application Type(*)

Invalid Input

MDW Type(*)

Invalid Input

Agent's Name(*)

Invalid Input

Replacement MDW Name(*)

Invalid Input

Replacement MDW FIN(*)

Invalid Input

SECTION 1. EMPLOYER

Full Name (per NRIC)(*)

Invalid Input

NRIC/FIN(*)

Invalid Input

Gender(*)

Invalid Input

Marital Status(*)

Invalid Input

Nationality(*)

Invalid Input

Residential Status(*)

Invalid Input

Passport No(*)

Invalid Input

Passport Expire Date(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

Monthly Income (SGD)(*)

Invalid Input

Worked In Singapore For Past 2 Years?(*)

Invalid Input

Residential Address(*)

Invalid Input

Contact Number (Handphone)(*)

Invalid Input

Contact Number (Home, optional)

Invalid Input

Email Address(*)

Invalid Input

Contact number and email are verified correct?(*)

Invalid Input

House Type(*)

Invalid Input

If HDB,please select HDB Type(*)

Invalid Input

No of Bedroom(*)

Invalid Input

No of Storey(*)

Invalid Input

First Time Employer(*)

Invalid Input

If Yes, is EOP (Employer Orientation Program) Completed?(*)

Invalid Input

SECTION 2. EMPLOYER'S SPOUSE(only required to fill in if ‘Married’ is selected for Employer’s marital status)

Full Name (per NRIC)(*)

Invalid Input

NRIC/FIN(*)

Invalid Input

Gender(*)

Invalid Input

Nationality(*)

Invalid Input

Residential Status(*)

Invalid Input

Passport No(*)

Invalid Input

Passport Expire Date(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

Monthly Income (SGD)
(optional, only required if to combine income)

Invalid Input

Worked In Singapore For Past 2 Years?(*)

Invalid Input

SECTION 3. OTHER HOUSEHOLD MEMBERS(same registered address as Employer)

Add Other Household Member?(*)

Invalid Input

HOUSEHOLD MEMBER 1

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 2

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 3

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 4

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 5

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 6

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 7

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 8

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 9

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

HOUSEHOLD MEMBER 10

Full Name (per NRIC)(*)

Invalid Input

NRIC/ FIN/ Birth Cert No/ Passport No(*)

Invalid Input

Gender(*)

Invalid Input

Replationship with Employer(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

SECTION 4. SPONSOR(only required to fill in if ‘Sponsorship’ is selected as Application Type)

Contact number and email are verified correct?(*)

Invalid Input

Contact number and email are verified correct?(*)

Invalid Input

SECTION 5. JOINT APPLICATION (only required to fill in if ‘Joint Application’ is selected as Application Type)

Relationship with Employer(*)

Invalid Input

Full Name (per NRIC)(*)

Invalid Input

NRIC/FIN(*)

Invalid Input

Gender(*)

Invalid Input

Marital Status(*)

Invalid Input

Nationality(*)

Invalid Input

Residential Status(*)

Invalid Input

Passport No(*)

Invalid Input

Passport Expire Date(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

Monthly Income (SGD)(*)

Invalid Input

Worked In Singapore For Past 2 Years?(*)

Invalid Input

Contact Number (Handphone)(*)

Invalid Input

Contact Number (Home, optional)

Invalid Input

Email Address(*)

Invalid Input

Contact number and email are verified correct?(*)

Invalid Input

Residential Address(*)

Invalid Input

Joint Applicant's Spouse

Full Name (per NRIC)(*)

Invalid Input

NRIC/FIN(*)

Invalid Input

Gender(*)

Invalid Input

Nationality(*)

Invalid Input

Residential Status(*)

Invalid Input

Passport No(*)

Invalid Input

Passport Expire Date(*)

Invalid Input

Date of Birth (DD/MM/YY)(*)

Invalid Input

Monthly Income (SGD)(*)

Invalid Input

Worked In Singapore For Past 2 Years?(*)

Invalid Input

ACKNOWLEDGEMENT:

I declare that all the above particulars are correct. If I am submitting on behalf of employer, I declare that I am authorized by Employer to provide the information.
I have read and understood Green Employment Pte Ltd’s Data Protection Notice (click to read), and consent to Green Employment Pte Ltd to collect, use, disclose or otherwise process my family's personal data disclosed in accordance with the Personal Data Protection Act (“PDPA”).
I consent to Singapore government and Statutory authority to obtain and verify my information, including medical conditions, with any person, organization or any other source, and use the information to assess my eligibility as an employer.
I consent to Minister of Manpower to display my/ our particulars on application form.