Special Pass

  FORM 18
IMMIGRATION ACT
(CHAPTER 133)

IMMIGRATION REGULATIONS
SPECIAL PASS
REGULATION 15 (3)
WP NO:
DOA:
SB NO:
SB EXPIRY:
FIN NO:
AA962092
0 99999999
11/10/2000
277777777777
11/12/2002
G9999999R
To Mary Balanguit Marcosa
Holder of FILIPINO
 
Passport No.
 
GG5555666

you are hereby permitted to enter and remain in Singapore for a period of till 21/04/2001       days from the date of issue hereof for the purpose of reporting to Immigration Changi Airport Checkpoint for checking out on             by flight PR502.


Note: Please surrender this pass to the Immigration Duty Officer's counter at the time of departure.

MOM (WPD) WPRF094
17/04/2001
Date of Issue
Signature of Officer
Name of the Officer
for Controller of Immigrations
Singapore


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