Singapore Arrival Card Application

Lead Traveller

Date of Arrival (DD/MM/YYYY) *i

Personal Information

Full Name (In Passport) *Given Name followed by Surname

Passport Number *

Date of Passport Expiry *

Sex as indicated in passport *

FEMALE MALE OTHERS

Date of Birth *

Nationality/Citizenship *

Country/Place of Birth *

Place of Residence *

Email Address *i

Country/Region Code *

Mobile Number *

Have you ever used a passport under different name to enter Singapore? *

YES NO

Different Name Used

Providing False Declaration Is An Offence Under Singapore Law

Do you currently have fever, cough, shortness of breath, headache, vomiting, dizziness or rash? *

YES NO

Last City / Port of Embarkation Before Singapore *

Purpose of Travel *

Mode of Travel *

AIR LAND SEA

Type of Accommodation in Singapore *i

HOTEL RESIDENTIAL OTHERS

Date of Departure from Singapore *i

Next City / Port of Disembarkation After Singapore *i Same as Last City

I confirm that the information provided is accurate and complete.