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VISA APPLICATION

(dd/mm/yy)
(as shown in passport)
Did you reside in other countries, other than your country of origin, for one year or more during last 5 years
Declaration
Have you ever been refused entry into or deported from any country, including Singapore?
Have you ever been convicted in a court of law in any country, including Singapore?
Have you ever been prohibited from entering Singapore?
Have you ever entered Singapore using a different passport or name?

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