Please complete this form for desired course registration. Please enable JavaScript in your browser to complete this form.Full Name (as in NRIC/FIN) *NRIC/ FIN (last 4 digits e.g. 123A) *Date Of Birth (dd/mm/yy) *Nationality *SingaporeanSingapore Permanent ResidentForeignerGender *MaleFemaleHighest Education Level *DegreeDiplomaA LevelO LevelN LevelSecondaryPrimaryEmail Address *Contact No. *Sponsorship Type *IndividualCompanyCompany Name *Company UEN No. *Company Contact Person *Company Contact No. *Company Email Address *Billing Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryCourse Tile: Please Choose The Desired Course Below *WORKPLACE SAFETY AND HEALTH PRACTICES IMPLEMENTATION (WSH L1)CUSTOMER MANAGEMENT (PQS L1)EFFECTIVENESS MANAGEMENT (DCMP L3)CUSTOMER MANAGEMENT (SSO L3)WSH L1: Please Choose The Desired Course Start Date *6 Dec 2021 (Mon) 9:00 am to 6:00 pm, Training Venue: Toa Payoh7 Dec 2021 (Tue) 9:00 am to 6:00 pm, Training Venue: Tampines26 Dec 2021 (Sun) 9:00 am to 6:00 pm, Training Venue: Tampines26 Dec 2021 (Sun) 9:00 am to 6:00 pm, Training Venue: Toa PayohPQS L1: Please Choose The Desired Course Start Date *8, 9 Dec 2021 (Wed-Thu) 9:00 am to 6:00 pm, Training Venue: Tampines11, 12 Dec 2021 (Sat-Sun) 9:00 am to 6:00 pm, Training Venue: Toa Payoh23, 24 Dec 2021 (Thu-Fri) 9:00 am to 6:00 pm, Training Venue: TampinesDCMP L3: Please Choose The Desired Course Start Date *17, 18, 19 Dec 2021 (Mon-Wed) 9:00 am to 6:00 pm, Training Venue: Tampines20, 21, 22 Dec 2021 (Mon-Wed) 9:00 am to 6:00 pm, Training Venue: TampinesSSO L3: Please Choose The Desired Course Start Date *29, 30 Nov - 1, 2 Dec 2021 (Mon-Thu) 9:00 am to 6:00 pm, Training Venue: Toa Payoh13, 14, 15, 16 Dec 2021 (Mon-Thu) 9:00 am to 6:00 pm, Training Venue: TampinesDeclaration *I declare that all of the information provided by me in this application form is true and correct. I understand that any false statement(s) and/or misrepresentation(s) is/are sufficient ground(s) for the rejection of my application.Declaration *I declare that I am physically and mentally fit to undertake this training programme, I will not hold Bespoke Solution Training Consultancy Pte. Ltd. or its officer and trainers responsible for any physical discomfort or injuries which may occur from attending this programme. Declaration *I declare that prior to this, I have not enrolled in the course indicated above. Otherwise, I will bear the full course fee without any subsidy.Declaration *I give consent to SkillsFuture Singapore (SSG), Bespoke Solution Training Consultancy Pte. Ltd. and their appointed agents to contact me for the purpose of post-course evaluation surveys and sending course/upskilling information. *Note to Registerers: Individual personal data and privacy is very important to Bespoke Solution Training Consultancy Pte Ltd. We would manage your data under the Singapore Personal Data Protection Act (No. 26 of 2012) (“the Act”). The following data collected shall be used solely for submission of WSQ assessment results to SSG; for SSG to notify trainees when the e-certs are ready; and for SSG's survey purposes. NameSubmit