Enrolment

Name :	Address :
Contact Number (Mobile) :	Occupation :
Home / Office :	DOB :	mm / dd / yyyy
Email :	Sex :	Male Female
Highest Education :	I/C No :
Company / Organisation :	Salary :
Course Particulars
Name of Course:	Language :	English Chinese
Course Dates:	Class :	Day Class Evening Class
Estimated Exam Date :

Have you been convicted/charged for any offence before? No Yes Details :	Are you currently under medical attention? No Yes Details :
Acknowledgement : I confirm that the information given herein is true and accurate. I confirm that I have been briefed of the course requirements and the additional course materials/items I will need to purchase in addition to the course fee. I further agree that full payment of the balance course fee will be made on or before commencement of course.
Remarks :