Client Particulars - PEM Confinement Nanny Agency

1 Particulars Of Prospective Employer

2 Particulars Of Prospective Employer

3 Employer

4 Acknowledgement

Full Name*
NRIC*
Gender*
Date of Birth*
Date Format: DD slash MM slash YYYY
Residential Status*
Marital Status*
FIN No/Passport Number (Non Singaporean)*
Citizenship*

Spouse Full Name*
Spouse NRIC*
Spouse Gender*
Spouse Date of Birth*
Date Format: DD slash MM slash YYYY
Spouse Residential Status*
Spouse FIN No/Passport Number (Non Singaporean)*
Spouse Citizenship*

Employer Contact No*
Spouse Contact No*
Email*
Address (Based on NRIC)*
Confinement Address*
Confinement Address (Other than NRIC address)*
Estimated Delivery Date*
Date Format: DD slash MM slash YYYY

Signature*
Consent*

By ticking the box, I hereby acknowledge that I have read, understood, and agreed to the said Terms and Conditions as stated in the agreement and as briefed by the consultant. I also consent to allow you to collect, use, and disclose all personal data and information that I have provided for the purpose of receiving marketing and promotional information and gifts from us. Should I wish to stop receiving such marketing and promotional information, I will inform you either by email, call, or message.
You agree to engage our services to hire a confinement nanny (“CN”) through us for the provision of the Confinement Services and you acknowledge that we are an employment agency. Our CNs are therefore not our employees and are instead yours. You should consider your obligations under the applicable employment laws and regulations in force for the time being. I hereby acknowledge that all particulars given are true and correct and I hereby give my consent to Ministry of Manpower to verify the particulars with any Government Agency. I am aware that that if I made any false statements or produce any documents which I know to be false, I shall be guilty of an offence. In the event of application, cancellation or extension of the CN work permit, you agree to authorise us to communicate your instructions to the Ministry of Manpower on your behalf.

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