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Registration Form

NTU Summer Programme 2017

Preparing You for the Working World

11 to 20 July 2017, Singapore

A.  Personal Particulars
Participant’s Name
(as shown in passport or identity card)
Mailing Address
Country
Contact
(include country/area codes)
Home no.
Mobile no.
Email address
Gender / Male / Female
Date of Birth (dd/mm/yyyy) / //
Passport Number
Nationality
B.  Academic Particulars
Name of Home University
Address
Country
Course/Disciple and
Year of Study
Major(s)/Area(s) of Study
C.  Emergency Contact
Full Name
Relationship
Postal address
Country
Contact
Home/Office number
Mobile number
Email address
D.  Registration Fee
Please check the appropriate category below.
Early Bird Registration
(NTU to receive payment by
20 April 2017) / SGD 2,300 + 7% GST
=SGD 2,461
Standard Registration
(NTU to receive payment by
25 May 2017) / SGD 2,500 + 7% GST
=SGD 2,675
E.  Mode of Payment
Please select the mode of payment.

Bank Draft

·  Bank draft is be made payable to "Nanyang Technological University". Please mail it together with this registration form to :
Nanyang Technological University
College of Professional and Continuing Education
60 Nanyang Drive, SBS-01s-50,
Singapore 637551
Attention: NTU Summer Programme 2017
Bank Draft Number :
Issuing Bank :
·  Please indicate your name & NTU Summer Programme 2017 at the back of the bank draft.
·  Only bank drafts drawn from a Singapore bank or foreign bank with a bank branch located in Singapore will be accepted.
·  Registration will only be confirmed upon receipt of payment.
Telegraphic Transfer
Please transfer the payment to NTU bank account as stated below:
Beneficiary’s Name / Nanyang Technological University
Beneficiary’s Banker Name / Overseas-Chinese Banking Corporation Limited
Beneficiary’s Banker Address / 65 Chulia Street, OCBC Centre
Singapore 049513
Beneficiary’s Account Number / 537-010027-001
SWIFT Code / OCBCSGSG
*Please note that you have to bear all the bank charges incurred in your home country and Singapore. You are requested to indicate in the telegraphic transfer slip that the payment is for “NTU Summer Programme 2017”.
A copy of the telegraphic transfer slip has to be faxed to +65-6774 2911 or you may email a scanned copy to .
Credit Card
I hereby authorised NTU to charge the amount of SGD 2,461 SGD 2,675
to my credit card, being payment for the NTU Summer Programme 2017 registration fee.
Type of Card: Visa Mastercard
Card Holder’s Name (as shown in the card):
Credit Card Number: ---
Card Expiry Date (MM/YY): /
Card Security Code: (found at the back of your card)
______
Cardholder’s Signature Date
F.  Others
Please send me an invitation letter.