Course Registration Form

Full Name (as in NRIC/FIN) *

NRIC/ FIN (last 4 digits e.g. 123A) *

Date Of Birth (dd/mm/yy) *

Nationality *

Singaporean
Singapore Permanent Resident
Foreigner

Gender *

Male
Female

Highest Education Level *

Email Address *

Contact No. *

Sponsorship Type *

Individual
Company

Company Name *

Company UEN No. *

Company Contact Person *

Company Contact No. *

Company Email Address *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Course 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 Payoh
7 Dec 2021 (Tue) 9:00 am to 6:00 pm, Training Venue: Tampines
26 Dec 2021 (Sun) 9:00 am to 6:00 pm, Training Venue: Tampines
26 Dec 2021 (Sun) 9:00 am to 6:00 pm, Training Venue: Toa Payoh

PQS L1: Please Choose The Desired Course Start Date *

8, 9 Dec 2021 (Wed-Thu) 9:00 am to 6:00 pm, Training Venue: Tampines
11, 12 Dec 2021 (Sat-Sun) 9:00 am to 6:00 pm, Training Venue: Toa Payoh
23, 24 Dec 2021 (Thu-Fri) 9:00 am to 6:00 pm, Training Venue: Tampines

DCMP L3: Please Choose The Desired Course Start Date *

17, 18, 19 Dec 2021 (Mon-Wed) 9:00 am to 6:00 pm, Training Venue: Tampines
20, 21, 22 Dec 2021 (Mon-Wed) 9:00 am to 6:00 pm, Training Venue: Tampines

SSO 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 Payoh
13, 14, 15, 16 Dec 2021 (Mon-Thu) 9:00 am to 6:00 pm, Training Venue: Tampines

Declaration *

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.

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