APPLICATION FOR A TEMPORARY WORK PERMIT

The application for the grant of a Temporary Work Permit should be addressed to:
The Director, Workforce Opportunities & Residency Cayman, P.O. Box 1098, Grand Cayman KY1-1102, Cayman Islands

PLEASE DO NOT LEAVE ANY QUESTION BLANK. IF A QUESTION DOES NOT APPLY TO YOU, INSERT, "NOT APPLICABLE" OR "N/A" IN THE SPACE PROVIDED.

NOTES:

(i) This application is in two parts. The first part is to be completed by the employee and the second part by the employer or the self-employed.

(ii) Refer to the checklist accompanying this form for additional documents required to process this application.

(iii) Use separate sheet of paper, where necessary, to thoroughly answer each question.

(iv) For support and guidelines see the WORC website www.worc.ky.

(v) If the employer / additional employer is a company, all communication will be sent to the contact information associated with the company's Trade & Business License as held by the Department of Commerce and Investment.

PART 1 - To Be Completed By Prospective Employee

DO NOT USE LIQUID PAPER OR CORRECTION TAPE, IF AN ERROR IS MADE CROSS OUT AND INITIAL THE CHANGE(S) OR USE A FRESH PAGE

1. Surname (Last Name)

Maiden Name

Given Names (First Names)

2. Nationality

Date of Birth

Gender

Male Female

3. Passport Number

Date of Issue

Place of Issue

Date of Expiry

4. Are you known by any other name(s)?

Yes

If Yes, provide other Name(s)

5. Physical address

(i) House No

(ii) Street Name

(iii) District

(iv) PO Box & KY

(v) Telephone

Do you have E-Mail?

Yes No

If yes, Email Address

6. What is your marital status? (certified copy of relevant legal document should be attached, where applicable, when adding spouse to permit)

Single Married Divorced Separated Civil Partnership Dissolved Civil Partnership

Name and nationality of spouse/civil partner

7. Please list the particulars of any dependants (spouse, children or others) whom you wish to accompany you to the Cayman Islands or are already residing in the Cayman Islands.

Name	Date of Birth	Nationality	Relationship	Country of Residence	Add to Work Permit
					Yes	No
					Yes	No

(i) What position are you applying for?

(ii) What experience do you have which is relevant to this job?

(iii) How many years of this experience do you have?

years

9. Do you have a current appeal pending with the Immigration Appeals Tribunal? (if yes, please provide details)

Yes No

Web hosting by Somee.com