CBD/CPF/PAT/Form 1

Last updated on 1 Oct 2014

Page 1 of 1

Central Provident Fund Board 79 Robinson Road, CPF Building, Singapore 068897

Website: www.cpf.gov.sg E-Submission Hotline: 6220-2340 Fax: 6229-3499

E-mail Address: employer-esubmission@cpf.gov.sg

REGISTRATION FORM FOR SUBMITTING CPF CONTRIBUTION DETAILS VIA PROVIDENT AND TAX (PAT)

(This form may take about 5 minutes to complete)

CPF SUBMISSION NUMBER:

COMPANY NAME :

CONTACT INFORMATION

Name

Designation

Contact Number

(Office) (H/P)

Email Address (1) (2)

FOR EXISTING PAT USER REGISTERING ADDITIONAL COMPANY / SUBSIDIARY; PLEASE PROVIDE YOUR CPF SUBMISISON NUMBER AND COMPANY NAME BELOW:

CPF SUBMISSION NUMBER:

COMPANY NAME:

PAYMENT MODE– DIRECT DEBIT

Please choose ONE Direct Debit deduction option

Next day deduction Direct Debit deduction will take place within three working days from the date of submission.

Deduction on last day of grace period (ie. 14th

Day Deduction) Direct Debit deduction will take place on the 14

th of every month if we received your CPF contribution details

between the 1st and the 12

th. However, if the 14

th falls on a Saturday, Sunday or Public Holiday, the deduction

will take place on the next working day.

Direct Debit deduction will take place two working days later if we receive your CPF contribution details after 12

th

of the month.

CONFIRMATION I (Name)____________________________of (Company) ______________________________________________ confirm that all information given in this application is true, correct and complete. I accept the terms of usage for the CPF e-submission (Employers) service and agree that the approval of this application is subject to the CPF Board’s discretion and that the Board reserves the right to decline the application without giving any reason.

Signature : _____________ Designation : _____________________

Central Provident Fund Board FORM DDA (BIZ)

79 Robinson Road, CPF Building Singapore 068897

Website: www.cpf.gov.sg CPF Call Centre: 1800-227-1188

• Please read overleaf “Information on Direct Debit Authorisation” before filling in the form. • Do not fax this form to CPF Board as the bank requires original signature(s) for verification. • Incomplete details or illegible handwriting on the form will delay the processing of the application.

CPF Payment Code

CPF contribution for employee(s) -

E.g.

Unique Entity Number (UEN) 1 2 3 4 5 6 7 8 9 X E.g. P T E 0 1

S 1 2 3 4 5 6 7 A

Company's Stamp/Signature(s)/Thumbprint(s)* as in Bank's records:

Signature/Thumbprint# differs from bank's records

# Please delete where inapplicable.

Unique Entity Number (UEN) / Employer's NRIC No.:

(a)    I/We hereby instruct you to process the Billing Organisation’s (BO’s) instructions to debit and credit my/our account.(b)    You are entitled to reject the BO’s debit instruction if my/our account does not have sufficient funds, and charge me/us a fee for this. You may also at  your discretion allow the debit even if this results in an overdraft on the account and impose charges accordingly.

(c) This authorisation will remain in force until terminated by your written notice sent to my/our address last known to you or upon receipt of my/our written

revocation through the BO.

Employer's NRIC/FIN

Date:

PART 1: For Applicant's Completion (please complete all required details (marked )

Type of payment

Notes

Direct Debit Authorisation Form (Employer's CPF Contributions)This form is for employers who are paying CPF contributions for their employees.

This form may take you 3 minutes to complete if you have your bank account details on hand.

Name of Applicant (Business/Company/Entity/Individual):

• Amendments made on the form must be countersigned by the bank account holder. Use of correction fluid/ tape is not allowed.

Name of Billing Organisation (BO):

Central Provident Fund Board

Revised Sep 2014

This application is hereby REJECTED (please ) for the following reason(s):

Amendments not countersigned by Bank Account Holder

Name of Bank Officer Authorised Signature and Stamp of Bank Date

Account operated by signature/thumbprint#

Others : _____________________________________________________________

Wrong account number

Signature/Thumbprint# incomplete/unclear

#

PART 3: For Bank's Completion

Bank Account Number:

Contact Numbers/E-mail address:

PART 2: For CPF Board's Completion

Name of Bank and Branch:

Name (as in Bank Account):

*For thumbprint(s), you must approach your respective Bank with your identification

documents for verification. For signature(s), you have the option to approach your

respective Bank for verification.

7  3  3  9  5  0  1  6  0  0  0  0  1  0  0  1 Bank  Branch  CPF Board's Account No. 

Bank  Branch  Account No. To Be Debited 

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Information On Direct Debit Authorisation •  Your Direct Debit Authorisation application will be sent to your bank and will be processed within 21 working days. You will receive a letter on the status and effective date of the Direct Debit arrangement upon approval. •  You can also check the status of your Direct Debit Authorisation application at www.cpf.gov.sg under E-Services > Direct Debit Authorisation / GIRO Application Status. •  Please ensure you have enough balance in your bank account before the deduction date. If you have set a payment limit on your Direct Debit deduction with your bank, ensure that the limit is sufficient to pay for all Mandatory and Voluntary CPF Contributions. Some banks may charge an administrative fee for each unsuccessful deduction. •  If you have an existing Direct Debit arrangement with CPF Board and wish to change your bank account, you will need to complete a new Direct Debit Authorisation form. The deduction for your CPF contributions from your existing bank account will continue until the new Direct Debit Authorisation application is approved. For CPF contribution for employee(s): • Email us at employer@cpf.gov.sg for queries on CPF Submission Number (CSN), which consists of Unique Entity Number (UEN) and CPF Payment code. • You are required to submit the CPF contribution details by the 14th of the month (or the next working day if the 14th falls on a Saturday, Sunday or public holiday) for deduction to take place. Otherwise, a late payment interest will be charged. •  If the first deduction is unsuccessful, a second deduction will be made 7 calendar days later and a late payment interest will be charged if your CPF contributions are not paid on time.

More than 100,000 employers are using Direct Debit to pay CPF.

Be one of them today!

Payment within your control

1. Choose your preferred deduction date when you submit your CPF via CPF e-Submit@web and pay via Direct Debit.

2. Deduction will only take place after

you have submitted your CPF contribution details.

Direct Debit Authorisation (Employer's CPF Contributions)

Contact Us www.cpf.gov.sg • giro@cpf.gov.sg CPF Call Centre : 1800-227-1188

For enquiries on Auto-Inclusion Scheme for Employment Income, please call 1800-356 8015 or email to ais@iras.gov.sg.

Officer’s name: Date received: Date processed:

· You can register your organisation for the Auto-Inclusion Scheme for Employment Income (AIS) from YA 2015 (income derived in year 2014) onwards by one of the following ways: - Complete and fax this form to 6351 3302 - Complete and email a scanned copy of this form to ais@iras.gov.sg

· This form may take you about 5 minutes to complete.

· Correspondence on AIS will be mailed to your registered business address.

· An acknowledgment e-mail will be sent to the stated email address within 10 working days of your application. (Acknowledgement will not be sent if no e-mail address is provided.)

Section 1: Particulars of Organisation

Name of Organisation:

Unique Entity Number (UEN):

Section 2: Organisation’s Details

1. Our payroll is maintained in o Microsoft Excel/Access o Payroll software developed internally (by IT Department, etc) o Payroll software purchased off-the-shelf Name of Payroll Software : Name of Payroll Vendor : o Others (via voucher, manual bookkeeping, etc)

2. As of today, our organisation has ________ employees^.

^ Other than current employees, the count should include directors and employees who left the organisation in 2014. If the number of employees is within the gazetted number of employees for compulsory filing, a notification to file will be issued to the organisation.

3. Training needs of your staff who will be submitting the income information to IRAS electronically:

(Please select one only)

o Staff has submitted income information electronically to IRAS before on behalf of other AIS employers.

o Staff is able to self help using the user guides available on IRAS’ website.

o Staff prefers to attend a seminar where there will be a demonstration on the usage of IRAS’ free AIS software.

o Staff needs to attend a computer workshop where there will be a hands-on step-by-step practice on the usage of IRAS’ free AIS software.

Section 3: Details of Contact Person for AIS Matters

Primary Contact Person from the organisation

Name (Mr/Mrs/Mdm/Ms):___________________________ Contact Number : ___________________________ (delete where appropriate)

Designation: ___________________

E-mail address: (In block letters)

Secondary Contact Person (e.g. payroll agent, if any)

Name (Mr/Mrs/Mdm/Ms): ___________________________ Contact Number : ___________________________

E-mail address: (In block letters) Signature of Primary Contact Person: ___________________________ Date: ________________

For Official Use Only

Application for Auto-Inclusion Scheme for Employment Income (AIS) for

the Year of Assessment 2015 (details of employment income for year 2014)

EI-OP-AI-01/F01-08

INLAND REVENUE

AUTHORITY

OF SINGAPORE