ADMISSION FORM
MASTER CLASS APRIL - JUNE 2018

Instructions :

  1. Please fill out this form clearly and using BLOCK LETTERS.
  2. Sign the application form.
  3. Enclose all supporting documents with this application as per the checklist.
  4. It is your responsibility to advise the Academy of Pastry Arts Malaysia regarding any change of contact details.
  5. USD 500 Admission fee must be paid upon submission of this form (Non-refundable & Non-transferable).

or confirmed flight ticket from your country of origin going to Kuala Lumpur.

  1. Please fill in the Accommodation Form if you require assistance with the housing.

Please send / hand in your Admission Form to :

Academy of Pastry Arts Malaysia

Address:Lot16, Jalan 51A/223, 46100 Petaling Jaya, Selangor Darul Ehsan.
e-mail:

Payment Options :

Payment in CASH directly to the Academy of Pastry Arts Malaysia.
Payment by CHEQUE issued to Pastry Studio Sdn. Bhd.
Payment by BANK TRANSFER to :
Account of: Pastry Studio Sdn. Bhd. (Company Registration no. 901575A)
Bank Address:30-36, Jalan 52/4, 46200 Petaling Jaya, Selangor Darul Ehsan, Malaysia.
Name of Bank: Standard Chartered Bank
Account No: 794157145903
Swift Code:SCBLMYKXXXX

SECTION 1 PROGRAMME PREFERENCE

Intake date:

Please indicate your choice of programme below.

Chocolate Display (7th - 10th April 2018) USD 1,000

French Pastries & Cakes (11th - 14th April 2018) USD 1,000

Sugar Display (9th - 12th June 2018) USD 1,000

Chocolate Display (13th - 16th June 2018) USD 1,000

2 Weeks Professional Chocolatier Program (4th - 16th June 2018) USD 1,500

2 Weeks Professional Bakery Program ( 4th - 16th June 2018) USD 1,500

Others ______

SECTION 2 PERSONAL DETAILS

Foreign student: No 8Yes, what visa are you on?

Name (As on NRIC/Passport):

NRIC No / Passport No: Marital Status: Single / Married

Date of Birth (day/month/year): Gender: M/F

Nationality:

Race:

Religion:

Correspondence Address:

Postcode: State:Country: ______

Tel: (Home) (Mobile)

Email: ______

SECTION 3EMERGENCY CONTACT

Contact Person:

Relationship:

Tel: (Home) (Mobile)

Email:

SECTION 4MEDICAL HISTORY

Disability:

Other medical conditions that may be of concern: (Allergies, Asthma, Color Blindness, Heart/Kidney Condition)

SECTION 5CHECKLISTS

□For Master Class USD 500 admission fee or confirmed ticket

□Payment Method

  • Full payment: CHEQUE / BANK TRANSFER / CREDIT CARD / CASH

□Payment Details

  • In case of cash or cheque payment: Receipt no:
  • In case of bank transfer:Attach bank-in slip/bank statement of transfer

SECTION 6CONDITIONS OF WITHDRAWAL

  1. Fees paid are NOT transferable. Admission fees/Deposits are NOT refundable.

SECTION 7DECLARATION BY APPLICANT

ACKNOWLEDGEMENT AND AGREEMENT

I have read and I fully understand the above policies, terms and conditions and the nature and effects thereof.

I hereby agree to pay all fees due on the dates stipulated by Academy of Pastry Arts.

I accept that Academy of Pastry Arts Malaysia reserves the right to revise the current fees without prior notice.

I certify that the information provided is correct and complete, that I am aware of the costs of the program, fee schedule and payment deadlines.

Signature of applicant:

Name:

Date:

SECTION 9DECLARATION BY PARENT / GUARDIAN / SPONSOR

DECLARATION BY PARENT / GUARDIAN / SPONSOR

I hereby agree to pay all fees due to the dates stipulated by Academy of Pastry Arts Malaysia.

I also understand and agree to the conditions as stated in the admission form.

Signature of Parent/Guardian/Sponsor:

Name:

Date:

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