Department of Roinn Fiontar Work Permits Section Tel 353 1 631 3308 / 3333

Trádála agus Davitt House Lo-call 1890 201 616

Enterprise,Trade
Fostaíochta Adelaide Road Fax 353 1 631 3268
and Employment Dublin 2 Web www.entemp.ie
Ireland

Passport
Photograph x2
Application by Employer for a Please print
employee’s
Work Permit to Employ a Non-EEA name on back
of photograph
(European Economic Area) National & staple to
application form

The EEA comprises the Member States of the European Union together with Iceland,
Norway & Liechtenstein

Details to be TYPED IN or printed in BLOCK CAPITALS ONLY, all sections

to be completed fully. Incomplete forms will be returned. (See checklist)

PART ONE Particulars of Employer

1. Registered name of employer’s business

2. Trading as (if different from above)

Address

3. (a) Copy of current, or most recent P 30.__________________________________________

(b) Employer’s Registered No. (obtain from Rev. Comms) _____________________________
(c) Company’s Registered No. (if applicable) ________________________________________________________
(Tax Clearance Certificate may be requested)

4. Nature of employer’s business_________________________________________________________________________

__________________________________________________________________________________________________________

5. Tel No. _____________________________ Fax No. _____________________________

E-mail address _________________________________________________________________________________________

6. No. of EEA nationals employed ______ (EEA nationals include Irish employees)

No. of non-EEA nationals currently employed ________

 PART TWO Particulars of Proposed Employee
1. Surname (as on passport)

Male/Female __________ Forename(s) (as on passport)

2. Is the proposed employee resident in the State at present. Yes ❑ No ❏ (please tick)
In all cases please supply a copy of the employee’s passport showing personal details, including signature. If the employee is already in the State,
his/her current residency status must be supplied (as on passport) and current visa (if applicable). (Residency status refers to the permission to
remain / duration of stay, stamped on the passports of all non-EEA nationals on registering with any Immigration Officer in Ireland.)

Current Home Address ______________________________________________________________

__________________________________________________________________________________

3. PPS No. (if applicable) (formerly RSI No.)_______________________________

4. Date of birth (Day/Month/Year) __________________ Place of birth __________________

5. Nationality ________________________________

6. Number of Passport _________________________ Passport expiry date ________________

7. Has the Proposed Employee ever made application for Asylum in the State? Yes ❑ No ❏ (please tick)
If applicable, please provide Asylum Seeker’s reference number __________________________

8. Qualifications held by the proposed employee

_______________________________________________________________________________

9. Relevant experience of the proposed employee _________________________________________

_______________________________________________________________________________

10. Please furnish details of any previous employment in the State (specify if on working holiday
permit or intra-company transfer, if applicable) (include documentary evidence)
_______________________________________________________________________________
_______________________________________________________________________________

PART THREE Details of job on offer

1. Title of job on offer ________________________________________ ___________________________

2. Proposed period of employment: from date of issue for ________ months

(maximum period 12 months)
3. Main functions of the job __________________________________________________________
_______________________________________________________________________________
4. Salary / wages e_______ per week gross (relevant Joint Labour Committee (Labour Court)
rate for Sector or National Minimum wage should be taken into account)

5. Deductions (other than statutory) from salaries/wages ______________________________

Employer
I hereby solemnly declare that the particulars given in this application are true to the best of my knowledge and belief and
I apply to the Minister for Enterprise, Trade and Employment for a work permit as required under the provisions of the
Aliens Act, 1935, the Aliens Order, 1946 to 1999 and the European Communities (Aliens) Regulations, in accordance with
the conditions referred to in this form. I further declare that the full benefit of all the relevant Irish Employment Rights
Legislation as mentioned above will be applied to this employee.

I understand and accept that I may not charge an employee a fee for (a) a work permit
and/or (b) solely for agreeing to seek employment for him/her.

I enclose a cheque for e______ (The application will not be accepted without the appropriate fee.)

Employer’s Signature ____________________________________________________________

Name (in block capitals) __________________________________________________________

Position Held ______________________________________Date ______________________

Please note: With effect from 2003 the names of all applicants for work permits, as well as the
number of permits issued to that employer, will be made publicly available on the
Department’s website (www.entemp.ie)
Agent
1. A company that sources employees and completes administrative work on behalf of an employer.
2. A company that only completes the administrative work on behalf of an employer.

I understand and accept that I may not charge an employee a fee for (a) a work permit and/or (b)
solely for agreeing to seek employment for him/her.

Agent’s Name __________________________________ Date __________________________

Address (for correspondence) ______________________________________________________

Employment Agency Licence No. (if applicable) ________________ Tick 1. ❏ 2. ❏

CONDITIONS OF ISSUE OF A WORK PERMIT

(A) Issue of a work permit in respect of a named non-EEA national does not in itself authorise
such a person to enter or reside within the State. Admission to the State and authorised
duration of stay is subject to the control of the Immigration Authorities.
(B) Application for a work permit, including a renewal, should be made 2-3 months before
the non-EEA national is required to take up employment or a current permit expires.
(C) Work Permits are issued for a maximum period of one year.
(D) Any application that contains omissions or is incorrectly completed will be returned
to the employer for completion.
(E) A fee, as determined by the Minister for Enterprise, Trade and Employment is payable
by the employer for each Work Permit granted.
Non-compliance with the provisions of the Aliens Act, 1935, and Orders made under
the Act is an offence punishable by Law.

Information furnished in this application may be forwarded to other Government Departments

during the examination of the case.