Form Gppl1 - Government-Paid Paternity Leave (Gppl) Scheme Declaration By Employee printable pdf download

Form Gppl1 - Government-Paid Paternity Leave (Gppl) Scheme Declaration By Employee

Form GPPL1

GOVERNMENT-PAID PATERNITY LEAVE (GPPL) SCHEME

DECLARATION BY EMPLOYEE

Child Development Co-Savings Act (Cap. 38A)

Child Development Co-Savings (Paid Maternity Leave, Maternity Benefit, Adoption Leave, Shared Parental Leave and

Paternity Leave) Regulations

Before filling up the form (which may take you 3 minutes to complete), please note:

(i)

Read the explanatory notes before completing this declaration.

(ii) If you are an adoptive father, you may also apply for paternity leave if you have made an application

to the Subordinate Courts of Singapore (Family and Juvenile Justice Division) (“Court”) to adopt a

child who is a Singapore Citizen (“local child”), or have been issued the dependant’s pass in respect

of the child for a child who is not a Singapore Citizen (“foreign child”) for the purpose of adoption

from 1 May 2013.

Part A: Details of Employee

Name of Employee

NRIC / FIN of

Employee

Part B: Details of Employee’s Spouse

Name of Employee’s Spouse

NRIC / FIN of

Employee’s Spouse

Part C: Details of Child

Child’s Birth Certificate No.

Child’s Date of Birth

Name

Please fill up this section if you are applying for paternity leave for a child who is to be/has been adopted (“adoptive

child”)

Date of the Court Application to Adopt (for adoptive child who is a citizen of Singapore)

Date of issuance of the dependant’s pass (for adoptive child who is not a citizen of Singapore)

Date of Adoption Order (if applicable)

Part D: Declaration of Singapore Citizenship

(For the biological child)

 Yes

 No

(i)

The child in respect of whose birth I am applying for paternity leave is a citizen of

Singapore.

 Yes

 No

(ii) The child in respect of whose birth I am applying for paternity leave is not a citizen of

Singapore. I will apply for Singapore citizenship for my child within 12 months from the

date of the child’s birth.

Please attach a copy of the child’s Singapore citizenship certificate if the child was not a Singapore

citizen at birth.

Updated January 2017

Page 1 of 5

Version 2017.1

Form Gppl1 - Government-Paid Paternity Leave (Gppl) Scheme Declaration By Employee

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