EP的form 8下面的内容怎么填啊

cfapass

问下面地空格怎么填啊
with reference to my application submitted on_______for training pass and resi

dence in singapore,i give my consent to the govement of *** to obtain from and  veri

fy information with any person,organisation or any other source for assessing

my application.

ck1010

申请递交日期