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MARKED
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سالة
22.6.7.2
SINGAPORE
DISEMBARKATION FORM
T
1. Full Name (Vrite surname first
*Mr./Mrs./Misg
2. Sex
3. Date of Birth
FORM 23
THE IMMIGRATION ORDINANCE, 1959.
12 OF 1959)
AALIA
(M.
! THE IMMIGRATION REGULATIONS, 1964. ¿Regulation 29 (2))
use BLOCK_letters)
GODBER FETER FITZROY
*Male/Female
71 141 1933.
Day Month Year
5. 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
HONG KONG (UF)
BRITISH.
UNITED KINGDOM.
Gov! SERVANT.
9. While in Singapore my address will be:
10. I embarked from
HONGKONG.
I am:
-TRANSIT
HoTsh
On (date)
Ca (Airline Co./Ship's Name)
SIA/SQ (31
| 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
또
12.
am a visitor to Singapore on:
Business
Pleasure-Vacation
Business and Pleasure
Other Purposes (e.g. Confer.
ence, Sports meet, etc.)
Describe
13.
This is my:
First Visit to Singapore
2 Second, third etc. visit
14.
I plan to stay_im-
1
Hotel
Residence of Friends of Relatives
Other Accommodation
15.
am travelling:
Describe
On group tour
Not on group tour
16.
I plan to stay in Singapore (or
days.
Date of 8 816123
Arrival...
Signature of Peli tinapadded.
Passenger
F
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