警●
MARKED
и
سایی
22.6.7.2
SINGAPORE
DISEMBARKATION FORM
FORM 11
THE IMMIGRATION ORDINANCE, 1959,
{M. OLD. 12 OF 1959)
IM: 910.
•
THE IMMIGRATION REGULATIONS. 1966.
Regulation 29 (2))
1. Full Name Write surname first -use BLOCK_letters)”
*Mr./Mrc/Misg GODBER-FETER FITZROY
Sex
J. Date of Birth
*MathFemale
4 1 1983.
Year
Day Month
3. Passport No.
57699
(*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
UNITED
HONG KONG (UK)
BRITISH
KINGDOM.
Gov! SERVANT.
9. While in Singapore my address will be:
10.
I embarked from
12.
HONGKONG.
I am:
VISITOR
TRANSI HOTEL·
On (date)
Ca (Airline Co./Ship's Name)
SIA/SQ (3)
{ 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 Visitne to Singapore
A Visitor on Overnight Transit (Accommodated by Airline)
INFORMATION FOA 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
Business and Pleasure
Other Purposes (e.g. Conferi
ence, Sports meet, etc.)
14. I plan to staying
Hotel
Residence of Friends or Relatives
Other Accommodation
38
16.
Describe
This is my:
First Visit to Singapore,
2 Second, third etc. visit
I plan to stay in Singapore for
Date of." Arrival....
61:23
15.
ain travelling:
Describe
On group tour
Not on group tour
..༢ .
days.
Signature of f
Lebi
Passenger...
•