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Print in BLOCK CAPITALS in Blue or Black Ink Only  \n􀁸 Answer ALL questions, indicate N/A where not applicable  \n\n| 􀁸 Section A PERSONAL DETAILS |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Surname |  |  |  |  | Given Name(s) |  |  |  |  |  |  |\n| Maiden Name |  | Sex:\u003Cbr>❑ Male ❑ Female |  |  |  |  |  |  |  |  | Date of Birth DD/MM/YYYY |\n| State the particulars of any name change unrelated to marriage |  |  |  |  |  |  |  |  |  |  |  |\n| Place of Birth (City/Town, Island) |  |  |  |  |  |  | Country of Birth |  |  |  |  |\n| Nationality at Birth |  |  | Current Nationality |  |  |  |  |  |  |  | Previous Nationality |\n| Passport Number |  |  | Issuing Country |  |  |  |  |  |  |  | Expiry date DD/MM/YY |\n| Have you ever been convicted of an offence? (To include convictions in any country and to include all convictions relating to traffic offences. ) Give details |  |  |  |  |  |  |  |  |  |  |  |\n| Section B MARRIAGE & SPOUSE DETAILS |  |  |  |  |  |  |  |  |  |  |  |\n| Marital Status: ❑ Single ❑ Married ❑ Legally Separated ❑ Divorced ❑ Widowed |  |  |  |  |  |  |  |  |  |  |  |\n| Place of Marriage (City/Town and Country) |  |  |  |  |  | Date of Marriage DD/MM/YY |  |  |  |  |  |\n| Surname |  |  |  |  |  | Given name(s) |  |  |  |  |  |\n| ❑ Male ❑ Female | Nationality |  |  |  |  |  |  |  | Date of Birth DD/MM/YYYY |  |  |\n| ADDRESS INFORMATION |  |  |  |  |  |  |  |  |  |  |  |\n| Intended Address in The Bahamas |  |  |  |  |  |  |  |  |  |  |  |\n| Street Address/House/Apt\\#/Hotel Name: |  |  |  | P.O. Box:\u003Cbr>Phone\\#:Work: |  |  |  |  |  | City: Island:\u003Cbr>Mobile\\#: |  |\n| Permanent Address |  |  |  | P.O. Box: Country: State: Phone\\#:Work: Mobile: |  |  |  |  |  |  |  |\n| Section C WORK & EMPLOYMENT DETAILS |  |  |  |  |  |  |  |  |  |  |  |\n| Prospective Employer (Indicate if self-employed) |  |  |  |  |  |  |  | Business Title or Job Position |  |  |  |\n| Employer’s Business address (State Street, Settlement, Island |  |  |  |  |  |  |  |  |  |  |  |\n\n\n| DETAILS OF PREVIOUS EMPLOYMENT IN THE BAHAMAS OR ANY OTHER COUNTRIES |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| Employer | Employers Address |  | Position |  | From DD/MM/YY |  | To DD/MM/YY |\n|  |  |  |  |  |  |  |  |\n| Section D JOB DESCRIPTION |  |  |  |  |  |  |  |\n| Give your reason for this request and a detailed description of the work that would be carried out. |  |  |  |  |  |  |  |\n| Commencement date DD/MM/YY |  |  | Expected duration of work. Specify day(s) /week(s)/month(s) |  |  |  |  |\n| Section E ADDITIONAL INFORMATION |  |  |  |  |  |  |  |\n| Indicate the date of your last visit to the Bahamas (if any): DD/MM/YY |  |  | Purpose for entering The Bahamas on your last visit:❑ Vacation ❑ Work ❑ Family Visit ❑ Other |  |  |  |  |\n| Are you suffering from any contagious or infectious illnesses? ❑ Yes ❑ No |  |  | Are you in good health?\u003Cbr>❑ Yes ❑ No |  |  |  |  |\n| APPLICATION CORRESPONDENCE ADDRESS |  |  |  |  |  |  |  |\n| The information requested below will be used for communication in relation to this application. This should be the information of the prospective employer, or their authorized agent or representative. If you are self-employed or authorized to submit this application on behalf of your employer please fill in your contact information. |  |  |  |  |  |  |  |\n| Title, Given Names, Surname |  | Organization Name (If Applicable) |  |  |  | P.O. Box |  |\n| City, Town, Island, State, Postal Code |  | Email Address |  |  |  | Primary phone \\# |  |\n| Section F DECLARATION |  |  |  |  |  |  |  |\n| I hereby declare that the information given by me in this application is true and complete to the best of my knowledge. I understand that any incorrect, misleading or untrue information or the wit","cbCairmfgGw6gBXZ","https://ap.wps.com/l/cbCairmfgGw6gBXZ","pdf",551110,"English","# Department of Immigration\n## Section A Personal Details\n## Section B Marriage & Spouse Details\n## Address Information\n## Section C Work & Employment Details\n## Section D Job Description\n## Section E Additional Information\n## Application Correspondence Address\n## Section F Declaration","[{\"question\":\"What information must applicants provide in personal details?\",\"answer\":\"Applicants provide surname, given name(s), maiden name, sex, date and place of birth, nationalities, passport number and issuing country/expiry date, plus any prior name changes and conviction details.\"},{\"question\":\"What spouse and address details are requested?\",\"answer\":\"The form requests marital status, place and date of marriage, spouse name, sex and nationality. It also collects intended address in The Bahamas and permanent address, including street/house or P.O. Box and contact numbers.\"},{\"question\":\"What declarations and signatures are required at the end?\",\"answer\":\"Applicants must declare that the information is true and complete, understand consequences for incorrect or withheld information, and acknowledge possible prosecution for false statements. The declaration section requires the applicant’s signature, printed name, and date.\"}]","SHORT TERM WORK PERMIT APPLICATION FORM - Application | PDF",1789825056]