APPLICANT 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

Employment Status

Current / Last Employer

Company Address

oPost Grad
oUni Degree
oPoly Diploma
oA Levels
oO Levels
o N Levels
oOthers:

oEmployed*
oSelf-employed*
oHomemaker/Retiree
oNot employed
Last date of employment :
DD/MM/YYYY (__________ )
oOthers:

Current/Last Designation

* For Singaporean and PRs who are employed/self-employed, the subsidised course fee of S$36 (for unemployed and $72 for employed). Payable to ‘3R HOLDINGS Pte Ltd’. 

CHOICE OF DATE (please indicate three choices in order of priority 1, 2, 3 to facilitate scheduling)

Jul-Dec 2003

May 2003

Jan 2003

Details

For these months, kindly write the preferred Mon/Tue date:

o6-7
o13-14
o20-21
o28-29

o3-4
o10-11
o17-18
o24-25

Duration: 2 days / Time: 9am – 5pm (includes 1-hour lunch break on own. Morning and Afternoon break refreshments provided.)

Venue: AEC Centre, 141 Market Street, Singapore
            (Off Pelican Building and Market Street carpark)

Due to the subsidy involved, documentation may be requested to substantiate your claims.

Application:

Registration fee of S$20 payable upon registration  to ‘’3R Holdings Pte Ltd”.

TERMS & CONDITIONS

u Participants must attend 75% to be eligible for the fee subsidy.
u Participants must pay fees applicable prior to commencement of workshop.
u Participants must not have attended another SET Introductory Program.
u 3R Holdings reserves the right to cancel/postpone/amend the workshops.
u Subsidy only applicable to Singaporean and Singapore PRs.

Yes, I have read and understood the terms and declare that the information I have provided in this form is true and accurate.

 

Signature:

Date: