Course Enrollment Form

Section 1: Personal Information 个人资料

Name 姓名*:

Age 年龄*:

Marital Status婚姻状况:

Single 单身Married 已婚Divorced 离婚

Gender 性别:

Male 男Female女

NRIC 身份证号码*:

Email 电邮地址*:

Mailing Address通讯地址*:

Handphone No.手机电话*:

Home phone No.住家电话*:

SECTION 2: ACADEMIC QUALIFICATION 学历

Please list all School / College / Qualifications that you have taken. 请选择您的学历资格和列出您所读的学校/学院*:

SECTION 3 : PARENT / GUARDIAN QUALIFICATION 家长/ 监护人资料

Father/Guardian’s Name 父亲/监护人名字*:

NRIC 身份证号码*:

Occupation 职业:

Handphone No.手机电话:

Home Phone No. 住家电话:

Email 电邮地址:

Mother’s Name 母亲名字:

NRIC 身份证号码:

Occupation 职业:

Handphone No.手机电话:

Home Phone No. 住家电话:

Email 电邮地址:

Mailing Address 通讯地址:

SECTION 4: EMERGENCY CONTACT 紧急联络

Person 1:

Name 姓名*:

Relationship 关系*:

Handphone No. 手机电话*:

Home Phone No. 住家电话*:

Person 2:

Name 姓名:

Relationship 关系:

Handphone No. 手机电话:

Home Phone No. 住家电话:

SECTION 5 : Documents to be submitted 要提交的文件 (each file size attached not exceed 1mb 随附文件大小不可超过1mb)

certified copy of all relevant academic qualifications / examinations 学历资格 / 考试文凭副本(file size not exceed 1mb):

School Leaving Certificate 毕业证书副本(file size not exceed 1mb):

Identity Card Copy身份证副本(file size not exceed 1mb):

passport size photos 护照尺寸照片(file size not exceed 1mb):

Course Enrollment Form