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OFFENCE UNDER THE IMMIGRATION ACT TO MAKE ANY FALSE STATEMENT, REPRESENTATION OR DECLARATION IN CONNECTION WITH THIS APPLICATION Have you or has any one of the persons included in Part E of this application ever: (a) Been prohibited from entering Singapore or any other country? Yes No (b) Been asked/required to leave Singapore or any other country? Yes No (c) Been refused entry into or deported from Singapore or any other country? Yes No (d) Been convicted of or currently charged .

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