Registration Form

3R’s REGISTRATION FORM – SET Skills Based Modules (1, 2, 3)

PARTICIPANT INFORMATION
Full name (underline surname): Mr/Ms/Mrs
NRIC No:								Date of Birth:
Gender	Nationality			Contact Details				Mailing Address
oMale oFemale	oSingaporean oSingapore PR			Home: Mobile/Pgr: Email:
Highest Qualification			Areas of Expertise				Company		Course Application
oPost Grad oUni Degree oPoly Diploma oA Levels oOthers:									oSelf sponsored oCompany sponsored
							Designation

CHOICE OF 3 DAY SET SKILLS BASED COURSES
o Financial Module Date: 29-31 May 02		o Business Module Date: 12-14 Jun 02			o Marketing Module Date: 19-21 Jun 02	Duration: 3 days / Time: 9am – 5pm (includes Morning, Afternoon, 1-hour Lunch break. All break refreshments provided.) Venue: AEC Centre, 141 Market Street, Singapore (Off Pelican Building and Market Street carpark)
Fees Before Subsidy perModule		1 Module sign up: $1,300 o 2 Module sign up: $2,400 o 3 Module sign up: $3,500 o
*NOTE: Fees payable upon registration to “3R Holdings Pte Ltd”*

TERMS & CONDITIONS

u Participants must pay fees 3 weeks prior to commencement of workshop. No refund will be provided if cancellation is less than 3 weeks prior to commencement of the course.
uSingaporeans and PRs are eligible for MOM funding support of S$500 per Module
u 3R Holdings reserves the right to cancel/postpone/amend the workshops.

Yes, I have read and understood the terms and declare that the information I have provided in this form is true and accurate. Enclosed is Cheque No_______________ for $________
Signature:	Date:

IMPORTANT : Please FAX this completed form to (65) 6274 –1984/(65) 6777-4463 and mail the
cheque to Ms Emily Teng c/o PSB Academy. 2 Bukit Merah Central, Spore 159835
FIRST COME FIRST SERVED.