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Application for Licensed Premises
This form may take you about 5 minutes to fill in.
You will need the following information/documents to fill in the form:
Entity Identifier/UEN of Applicant
Details of Licensed Premises
Step 1 of 3: Fill in the Application Form
Fields marked with asterisk(*) are mandatory
PARTICULAR OF APPLICANT
[This section is to be completed by the chairman/managing director/director/proprietor or a partner of the company/firm. His/her name should appear in the Registry of Companies & Businesses computer printout of information on companies and businesses.]
Applicant's Name
*
Designation
*
Identification Type
*
NRIC
FIN
Passport
Applicant NRIC / Passport / FIN number
*
Email Address
Contact Number
*
(Tel. No)
(Fax No)
PARTICULAR OF ESTABLISHMENT
Name of Company/Firm
*
Entity Identifier/UEN
*
DETAILS OF PROPOSED LICENSED PREMISES
Address of Licensed Premises
*
Type
*
Standard
PO Box
Lock Bag
Lot No/Mukim/Town Subdivision
Godown
Block/House No.
Street Name
Level - Unit No.
#
-
Building Name
Postal Code
*
Licensed Premises Type
*
Please select one
Air Store Bond
Petroleum Bonded Warehouse
Class 2 Yard
Container Freight Warehouse
Duty Free Shop
Licensed Warehouse
Licensed Factory Warehouse (Distillery)
Licensed Factory Warehouse (Motor Vehicle)
Licensed Factory Warehouse (Bottling)
Licensed Factory Warehouse (Refinery)
Licensed Factory Warehouse (Tobacco Manufacturing)
Petroleum Licensed Warehouse
Motor Vehicle Licensed Warehouse
Type I Warehouse of the Zero-GST Warehouse Scheme
Type II Warehouse of the Zero-GST Warehouse Scheme
Type III Warehouse of the Zero-GST Warehouse Scheme
Type of Goods
*
Dutiable Liquor Products
Dutiable Tobacco Products
Dutiable Vehicles & Parts
Dutiable Petroleum Products
Other Dutiable Goods (pls specify)
Strategic Goods
Hazardous Substances
Hazardous Pesticides
Food & Agricultural Products
Telecommunication Equipments
Metals
Plastics
Non Dutiable Vehicles
Non Dutiable Petroleum Products
Other Non Dutiable Goods (pls specify)
Responsible person(s) to be contacted(in case of emergency after office hours)
Name
*
Designation
*
Contact Number
(At least one to be filled)
*
(Tel. No)
(Fax No)
Email Address
Declaration
I/We hereby declare that the information given in this application is true and correct.
I/We also undertake to inform Singapore Customs, immediately of any changes in the particular of this Application Form.