Course Enrolment form for Self-Sponsored

Information provided will be treated with confidence for the purpose of: (1) Assessment result submission to SSG, (2) For WSQ softskillscourses generating of e-Cert and notification to trainees from SSG and (3) Setting ICDL test via ICDL Enlight system

Course Title
Course Code
Course Date / Time
Name of Participant
(as in NRIC)
NRIC Number / NRIC Type / NRIC (Pink) NRIC (Blue) FIN Others
Date of Birth(DD-MM-YYYY) / Gender / Female Male
Nationality / Race
Mailing Address
Contact No. (Local HP) / Contact No. (Office/Res)
Email Address
Highest Education
Employment Status / Self-Employed / Employed / Unemployed / Retired
Company Name
Designation
Salary Range / Unemployed / Below $1000 / $1000-$1499 / $1500-$2000
$2001-$2499 / $2500-$2999 / $3000-$3499 / $3500 & above

Terms and Conditions:

  1. Sign and complete all information required in the enrolment form.
  2. Payment of ‘Nett’ fee to be made before commencement of course.
  3. Trainee must achieve at least 75% attendance, sit for and ‘Pass’ all required test/assessments.
  4. Copy of documentation proof to be provided for verification (NRIC and WTS letter if applicable).
  5. Trainee has not applied for SSG (f.k.a WDA) course fee subsidy for this particular training course.

Upon failing the above, trainee is required to pay full fees.

Refund and Cancellation

  • There will be no refund of fees for cancellation of course by trainee.
  • Course fees paid are refundable only if rescheduling is done by Provider and does not suit trainee.

Declaration:

I declare that I have not applied for any form of government course fee subsidy for this particular training course.

I have read the above terms & conditions and hereby declare that the above information is true & accurate.

Signature / Date
Would you like to be included in our course mailing list and be contacted with regards to our courses? Yes No
Send this form to or fax to 6235 5316 Address:150 Orchard Road, #06-14 Orchard Plaza, Singapore 238841
For Official Use Only
Course Fee / GST / SSG Grant (SDF) / Nett Fee Payable / Type of Funding
$ / $ / $ / $ / Normal MCES WTS
WTS Supporting Document
WTS Letter WIS Payout Letter 1 of last 3 month’s payslip IRAS Letter SingPost CPF Income Declaration
Employment letter/Contract dated not more than 3 months before course registration
Payment Mode: / Cash Nets / Official Receipt No.
Cheque (Bank, Cheque number & date): / Amount Paid
SkillsFuture Credit (SFC ID Amount) : / Enrolled by
Remarks

Updated effective 1 Jul 2017v2.0