SINGAPORE
DISEMBARKATION FORM
FORM 23
.THE "IMMIGRATION ORDINANCE, 1959.
(M. ORD. 12 OF 1959)
CARTO A.
THE IMMIGRATION REGULATIONS,
1966.
Regulation 29 (2))
}
1. Full Name (Write surname first
*Mr./Mrs./Miss
use BLOCK letters)
2. Sex
*Male/Female
3. Date of Birth
GODBER PETER FITZROY
411933
Day Month
5. Passport No.
57649
Year
(*Delete as necessary)
4. Country of Birth
UNITED KINGDOM.
(LONDON)
Issued by or for the Government of
6. Nationality or Citizenship (as described in passport)
7. Country of Residence
8. Occupation
9.
HONG KONG (UK)
BRITISH.
UNITED KINGDOM.
Govi
SERVANT.
While in Singapore my address will be:
10. I embarked from
HONGKONG
11.
am:
II
12.
2
-TRANSIT HOTEL
On (date)
Ca (Airline Co./Ship's Name} SIA/SQ
| Please tick() appropriate box}
A Returning Resident
An Intending Resident (e.g. to take up employment, to undergo a course of
• study or as immigrant)
A Visitor to Singapore
A Visitor on Overnight Transit (Accommodated by Airline)
VISITOR INFORMATION FOR THE SINGAPORE TOURIST PROMOTION BOARD (Confidential Data for Statistical Use only)
TO BE COMPLETED BY VISITORS ONLY
I am a visitor to Singapore on:
Business
Pleasure-Vacation
14. I plan to stay in
1
Hotel
Residence of Friends or Relatives
Other Accommodation
9
Business and Pleasure
-Other Purposes (e.g. Confer-
ence, Sports meet, etc.)
Describe
13.
This is my:
First Visit to Singapore
Second, third etc. visit
16.
15.
am travelling:
Describe
On group tour
Not on group tour
I plan to stay in Singapore for
Date of 8 6 73
Arrival.....
༢
days.
Signature of Pelei... Madles...
Passenger...
27
"F"