Purpose and scope
This ICA form concerns dependants of an Immigration Exemption Order holder. It is not a general MOM Dependant’s Pass LOC form.
Information and procedure
The following separates the document’s main parts and applicable requirements.
| Part | Requirement |
|---|---|
| Applicant | Name, FIN, nationality, birth/sex, qualification, pass expiry, main holder FIN and contact/address |
| Employment | Employer/ACRA/address/contact, industry, position, duties, experience and basic monthly salary |
| Execution | Employer signature/date/stamp and IEO holder’s validity/truthfulness declaration |
| Submission | Complete in block letters and email [email protected] as directed |
Completion and follow-up
Incomplete forms are not processed. Use the March 2025 document’s own category and submission instructions.
Official ICA source
Written independently from ICA’s English original. The linked source supplies the complete document and subsequent updates.

