Please click to print. Date : 05/12/2008 Employment Pass Online Application Work Pass Division Ministry of Manpower 18 Havelock Road Singapore 059764 Telephone : (65) 64385122 Facsimile : (65) 62932138 Website : http://www.mom.gov.sg Email : mom_wpd@mom.gov.sg *G6218437Q26112008* INSTITUTE OF HIGH PERFORMANCE COMPUTING 1 FUSIONOPOLIS WAY #16-16 SINGAPORE 138632 Dear Sir/Madam IN-PRINCIPLE APPROVAL LETTER FOR EMPLOYMENT PASS Name of Employer : INSTITUTE OF HIGH PERFORMANCE COMPUTING Company ID : 13715980000R Employment Pass Holder's Particulars: Name of Applicant : SORKIN VIACHESLAV FIN : G6218437Q Date of Birth : 26/07/1971 Date of Application : 26/11/2008 Gender : MALE Period Granted(months) : 36 Nationality : ISRAELI Pass Category : P2 Travel Doc. No./Expiry Date : 8969264/28/05/2011 Occupation : RESEARCH ENGINEER Medical Examination : (D) Application No. : A261108524718 Your application for the above applicant has been approved in principle. This approval is valid until 03/06/2009. Please note that this approval does not exempt the above applicant from registration or compliance with any other conditions required under the respective professions, for which professional registration to practise in Singapore is a prerequisite (e.g. medicine, dentistry, pharmacy, architecture, law, etc). Temporary Employment Pass This in-principle approval allows the Employment Pass applicant to commence employment for a period of 1 month from the date of this letter provided he/she has a valid Short Term Visit Pass endorsed in his/her travel document. However, if the Employment Pass is approved for a duration of 3 months or less, he/she must collect it before he/she can commence employment. Short Term Visit Pass upon submission of document at the Work Pass Division The In-Principle Approval letter does not validate the stay of the above applicant in Singapore. Prior to the collection of the Employment Pass, please ensure that the above applicant has a valid Short Term Visit Pass duly endorsed in the travel document. In the case of renewal, please ensure that the existing Employment Pass is still valid. Extension of the existing pass may be requested for from the Work Pass Counters at Ministry of Manpower, 18 Havelock Road, Singapore 059764. It is an offence to stay in Singapore without a valid pass. Employment Pass Conditions The Employment Pass holder, SORKIN VIACHESLAV, is to work as RESEARCH ENGINEER with INSTITUTE OF HIGH PERFORMANCE COMPUTING only. He/she is not to engage in any employment other than that specified in the pass as endorsed in the travel document. Should there be a change in his/ her duties or designation, the employer is required to inform the Work Pass Division. If he/she changes employment, he/she must apply for a new pass. https://eponline.mom.gov.sg/epol/pepolcorrmanageraction.do (1 of 6)12/5/2008 9:43:32 AM
The employer has to report in writing, and advise the Employment Pass holder to cancel the Employment Pass in person at the Work Pass Division within 7 days upon termination of employment. Failure to do so may result in overstaying charges. The employer should explain the contents of the in-principle approval letter to SORKIN VIACHESLAV. Any violation of the above conditions is a contravention of the Employment of Foreign Manpower (Work Passes) Regulations and the offender is liable to a fine and/or imprisonment upon conviction. In addition, failure to do any of the above may affect the employer's future applications for Employment and other passes issued by the Work Pass Division. Fees payable for the collection of the pass(es) Payment of fees has to be made upon collection of the pass. Acceptable payment modes are by NETS, Cashcard, cash or cheque only. The amount of fees payable are as follows: S$30 per year or part thereof for a/an Employment/Dependant's Pass S$60 per issue of the Long Term Visit Pass S$30 per issue of a Multiple Journey Visa (if applicable) S$30 per issue of a Single Journey Visa (if applicable) Cancellation To cancel an Employment Pass, the following documents must be produced at the Work Pass Division within seven days from the date of cessation or termination of the employment of the Employment Pass holder : A letter from the employer requesting cancellation of the Employment Pass; The valid travel document and the Disembarkation/Embarkation Card (Green card) of the pass holder; and The IMM 27 (Immigration White Card) duly completed. If the Employment Pass holder has left employment without informing the employer and the travel document cannot be produced for cancellation of the Employment Pass, the employer must also produce a police report. Any Dependant's Pass and/or Long Term Visit Pass tied to an Employment Pass must be produced for cancellation along with the Employment Pass. Failure to do so will result in the Dependant's Pass and/or Long Term Visit Pass holder becoming an overstayer. Useful information The Work Pass Division is located at Ministry of Manpower, 18 Havelock Road, Singapore 059764. A copy of the location map is available at http:// www.mom.gov.sg. For updates on the procedures and guidelines for the collection of the work pass or related passes, please refer to our website at http://www.mom.gov.sg. Yours faithfully, Controller of Work Passes (As this is a computer generated letter, no signature is required) Procedures And Documents Required For Collection Of Employment Pass FIN: G6218437Q Name of Employment Pass Holder: SORKIN VIACHESLAV Name of Employer/Sponsor: INSTITUTE OF HIGH PERFORMANCE COMPUTING The applicant must be in Singapore when the pass is collected. The employer may come personally or give written authorization to a representative to submit the documents needed to process the Pass, within 2 weeks of the applicant's arrival in Singapore. To collect the pass, the employer or authorized representative will need to get a queue number from the Queue Ticket Counter machine, Level 1, Ministry of Manpower (MOM), 18 Havelock Road, Singapore 059764. Queue tickets are issued from 8am to 4pm on weekdays and from 8am to 12pm on Saturdays. The busy periods are from 11am to 3pm on weekdays and 10am to 12pm on Saturdays. The pass(es) can be collected about three hours after the submission of the documents over the counter. They can be collected on the same day where documents are submitted before 2.30pm (Mondays to Fridays) and 10am (Saturday). https://eponline.mom.gov.sg/epol/pepolcorrmanageraction.do (2 of 6)12/5/2008 9:43:32 AM
The following documents must be produced at the point of collection. For non-english certificates/documents submitted, copy(ies) of the official English translation must also be submitted. MOM reserves the right to request the submission of any other documents including original copy(ies) of documents that have already been submitted, after the collection of the pass: This In-Principle Approval letter (original); The applicant's original passport/travel document: For collection of S Pass, the S Pass applicant's original passport/travel document must be valid for at least 7 months; (Where the validity is less than 7 months, please note the expiry of this S Pass will be issued up to 1 month before the expiry date of the applicant's passport/travel document). For collection of other passes except S Pass, the applicant's original passport/travel document must have at least 2 blank visa pages. The original and completed EP online Declaration form duly signed by the applicant and local Employer/Sponsor; Applicant who is currently holding a/an Employment Pass, S Pass, Training Employment Pass or related pass (Dependant's or Long Term Visit Pass), and wish to change employer or pass type, is required to bring along the following documents to cancel his/her current pass: Disembarkation/Embarkation Card, or S Pass Card; Letter from the current employer/sponsor requesting for the cancellation of the existing work pass and/or related pass(es) (if any); Applicant who is currently holding a work permit has to ensure that the current employer has submitted a Cancellation request via WP Online to cancel the work permit before he/she can collect the Employment/S Pass. The employer will print a copy of the WP Online Cancellation result page. They are required to bring the following documents at the point of collection: A printed copy of the WP Online Cancellation result page with the Cancellation application status indicating "Pending Verification" (This page will appear after the employer has successfully submitted the applicant's Cancellation request); and Work Permit Card; Please note that Dependant's Pass and Long Term Visit Pass can only be collected after the Employment/S Pass has been issued. https://eponline.mom.gov.sg/epol/pepolcorrmanageraction.do (3 of 6)12/5/2008 9:43:32 AM
EPONLINE DECLARATION FORM FOR AN APPLICATION FOR AN EMPLOYMENT PASS 1. This Declaration Form is to be completed and signed only after the In-Principle Approval (IPA) letter has been issued. 2. If there are any discrepancies in the information found in this Declaration Form, the correct information must be provided in writing to the Work Pass Division, Ministry of Manpower, 18 Havelock Road, Singapore 059764, before collection of the Pass. If there has been a change in the information, the application will need to be re-assessed. If the applicant is still in his/her home country, the applicant is advised not to enter Singapore till the application is re-assessed and approved. 3. The original copy of the completed Declaration Form must be submitted to the Work Pass Division, Ministry of Manpower, Singapore, when the Employment Pass is collected. *G6218437Q26112008* PART A DECLARATION BY APPLICANT Our Reference: G6218437Q/26/11/2008/05/12/2008/P2 Compulsory to affix a recent passportsized photograph of applicant here (Not applicable to S Pass Holder) I, SORKIN VIACHESLAV, reference no: G6218437Q/A261108524718, declare that the following particulars provided in my Application for a/an Employment Pass Form are true and correct:- i. Date of Application: 26/11/2008 ii. Date of Birth: 26/07/1971 iii. Nationality: ISRAELI iv. Educational details: Country of Awarding Body/Institution/University: ISRAEL Name of Awarding Body/Institution/University: TECHNION - ISRAEL INSTITUTE OF TECHNOLOGY Main Campus or Affiliating College Attended: - Qualification : DOCTORATE (PHD) Faculty: PHYSICS Specialisation: COMPUTATIONAL PHYSICS Mode of study: FULL-TIME Period of study : from 03/10/2003 to 03/10/2006 Country of Awarding Body/Institution/University: ISRAEL Name of Awarding Body/Institution/University: TECHNION - ISRAEL INSTITUTE OF TECHNOLOGY Main Campus or Affiliating College Attended: - Qualification : MASTER'S DEGREE Faculty: PHYSICS Specialisation: COMPUTATIONAL PHYSICS Mode of study: FULL-TIME Period of study : from 01/09/2000 to 13/04/2003 v. Name of Employer/Sponsor: INSTITUTE OF HIGH PERFORMANCE COMPUTING vi. Occupation under Employment Pass: RESEARCH ENGINEER https://eponline.mom.gov.sg/epol/pepolcorrmanageraction.do (4 of 6)12/5/2008 9:43:32 AM
vii. Fixed Monthly Salary under Employment Pass (S$): 5,800 viii. Basic Monthly Salary under Employment Pass (S$): 5,800 I declare that: i. I have never been refused entry or deported from any country. ii. I have never been convicted in a court of law in any country. iii. I have never been prohibited from entering Singapore. iv. I have never entered Singapore using a different passport issued by a different country. v. I have never entered Singapore using a different name. vi. I have never been a citizen or permanent resident of Singapore. Declaration Details: - I confirm that the information as set out in the Application for a/an Employment Pass Form and this Part is, to the best of my knowledge, true and correct. All documents submitted with this Declaration Form and in support of my Application for a/an Employment Pass are true copies of the originals. I understand that I may be prosecuted if I have provided any information which is false in any material particular, or is misleading by reason of the omission of a material particular. I further declare that I have not suffered or am not suffering from AIDS or infected with HIV or Tuberculosis. I know that if I am found to be suffering from AIDS or infected with HIV or Tuberculosis, the pass issued to me will be cancelled and I will have to leave Singapore by the date the Controller of Work Passes/Controller of Immigration requires me to leave Singapore. (Signature of Applicant) (Date of Signature) PART B DECLARATION BY LOCAL EMPLOYER/SPONSOR Our reference: G6218437Q/26/11/2008/05/12/2008/P2 I, (Name of authorised representative) (NRIC No./FIN No.) in my capacity as (Designation in company/firm) of (Name of company/firm) INSTITUTE OF HIGH PERFORMANCE COMPUTING whom is the employer and local sponsor of the applicant declare that the following details are true and accurate:- i. Occupation under Employment Pass: RESEARCH ENGINEER ii. Fixed Monthly Salary to be paid to Applicant (S$) : 5,800 iii. Basic Monthly Salary to be paid to Applicant (S$) : 5,800 I further declare that Part A of this Declaration Form was, to the best of my knowledge, personally completed and signed by the Applicant whose name is indicated in the In-Principle Approval letter. I have ensured that the Applicant fully understands the contents of Part A of the Declaration Form. I confirm that the information as set out in the Application for a/an Employment Pass Form and this Part is, to the best of my knowledge, true and correct. I understand that I may be prosecuted if I have provided any information which is false in any material particular, or is misleading by reason of the omission of a material particular. I further understand that any false statement made by my company or myself in relation to the Application for a/an Employment Pass Form or this Declaration Form may adversely affect the future work pass applications of my company/firm. I undertake to be responsible for the stay, maintenance and repatriation of the applicant. I shall keep copies of the applicant's education certificates as declared in the application form for as long as the applicant is in my employment. I understand the Ministry of Manpower can at any time request for these documents for verification and revoke the pass should the documents be inconsistent with the declaration furnished in the application form or if i am unable to produce the documents. I undertake to indemnify the Singapore Government for any charges or expenses which may be incurred by the Government in respect of the repatriation of the said applicant or any of his/her dependants. I also undertake to be responsible for ensuring the compliance by the applicant of any quarantine and medical surveillance imposed on the applicant under Regulation 8(2A) of the Immigration Regulations. https://eponline.mom.gov.sg/epol/pepolcorrmanageraction.do (5 of 6)12/5/2008 9:43:32 AM
(Signature of Authorised Representative) (Company/Firm Stamp) (Date of Signature) https://eponline.mom.gov.sg/epol/pepolcorrmanageraction.do (6 of 6)12/5/2008 9:43:32 AM