Scribd Logo
Upload

Welcome to Scribd!

  • 9 views

    Appeal Submitted Mom

    Uploaded by

    Zyan Zahid

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Appeal Submitted Mom

    Uploaded by

    Zyan Zahid
    9 views5 pages

    Original Title

    APPEAL SUBMITTED MOM

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views5 pages

    Appeal Submitted Mom

    Uploaded by

    Zyan Zahid

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    To: Secretary to the Appeal Board (“Secretary”)

    c/o LEGAL SERVICES DIVISION


    MINISTRY OF MANPOWER
    18 HAVELOCK ROAD #04-01
    SINGAPORE 059764

    NO TI C E O F A P P EAL FO R M

    E M PLO Y M ENT O F FO RE IG N MA N PO W ER A CT ( CH A PT ER 91 A)

    E M PLO Y M ENT O F FO RE IG N MA N PO W ER ( I NFR ING E M E NT AN D AP P E AL BO AR D


    PR O C E ED IN G S ) R EG ULA TIO N S 20 1 3

    Instructions

    You must use this form if you wish to file an appeal against the Commissioner for Foreign Manpower's
    (“Commissioner”) determination or direction.

    The appeal must be filed within 14 days after receipt of the Commissioner's determination or direction.

    You must provide a summary of your grounds for appeal and attach all supporting documents.

    Case Reference No. : FMMD/IP/ Date of Commissioner’s :


    Decision

    Appellant’s Name : Appellant’s :


    NRIC/FIN/UEN
    Appellant’s Address :

    Authorised : Authorised :
    Representative’s Representative’s NRIC/
    Name (if applicable) FIN/ UEN (if applicable)

    Authorised :
    Representative’s
    Address
    (if applicable)

    Legal : Legal Representative’s :


    Representative’s NRIC/FIN/UEN
    Name (if applicable) (if applicable)

    Legal :
    Representative’s
    Address
    (if applicable)

    Page 1 of 5
    SECTION A: The Appellant appeals against the

    Please tick all that applies:

    Commissioner’s findings

    Amount of Financial Penalty

    Direction

    Others Please specify:

    SECTION B: Grounds of Appeal

    Please tick all that applies:

    Commissioner’s decision was based on wrong facts

    Commissioner’s decision was wrong in law

    Others Please specify:

    Page 2 of 5
    SECTION C: Details of the Grounds of Appeal

    Please provide (i) your version of the facts; (ii) a summary of your arguments supporting your grounds
    for appeal; and (iii) set out what relief or directions you seek from the Appeal Board. If the space below
    is insufficient, you may attach additional pages.

    Page 3 of 5
    SECTION D: Documents to be submitted

    (1) Copies of any authorities, information or documents relied on.

    (2) A copy of the Determination being appealed against.

    (3) Proof of payment of the $500 filing fee.

    (4) If the Appellant is a body corporate, the representative’s Letter of Authorisation.

    (5) If the Appellant is legally represented, the Warrant to Act.

    SECTION E: Further instructions

    How to submit your appeal?

    Submit hardcopies of this completed form together with all the supporting documents to:

    Secretary to the Appeal Board


    c/o Legal Services Division, Ministry of Manpower
    18 Havelock Road #04-01
    Singapore 059764

    Payment of filing fee

    You must pay a non-refundable filing fee of $500. The Notice of Appeal will be immediately rejected
    if the filing fee has not been paid.

    When making payment, please key in your case reference number (e.g. FMMD/IP/202100/00123) in
    the comments field for us to identify your case.

    Option 1: Internet Bank Transfer to DBS bank account number 072-012539-8

    Option 2: PayNow using the UEN: T08GA0019C2L1 or scanning the QR Code:

    Page 4 of 5
    SECTION F: DECLARATION

    □ I confirm that I am submitting this Notice of Appeal against the Commissioner’s determination
    and/or direction to the Appeal Board. I declare that the information and documents submitted
    in this Notice of Appeal are true and correct. I understand that I may be investigated and
    charged in court if I provide any false information.
    □ I confirm that I have paid the filing fee of $500 via Internet Bank Transfer or PayNow.

    □ I understand that if the Notice of Appeal is materially incomplete, lacking in clarity or unduly
    lengthy, the Appeal Board has the discretion to reject my appeal or give such directions as may
    be necessary to me to remedy the Notice of Appeal.

    _________________________ _________________________ _________________________


    Name Company/Business Stamp Date & Signature
    (To state name and (where applicable)
    designation of Authorised
    Representative of
    Company/Business, where
    applicable)

    Page 5 of 5

    You might also like