REGISTRATION FORM

Course Title: / The Art of Self Care
Course Date(s): / 5 & 6 Apr 2018

** Closing date is one month before course start date **

APPLICANT’S PROFILE
Name(as in NRIC) / : / Gender / : / M / F
NRIC/FIN No. / : / Nationality / : / Date Of Birth / : / (DD/MM/YYYY)
Please  / : /  / Singapore Citizen /  / Singapore PR /  / Dependent’s Pass /  / Work Pass
 / Student’s Pass /  / Long Term Visit Pass /  / Multiple Journey Visa /  / Others
(PleaseState: ______)
Home Add / : / S / ( )
Contact No / : / (O) / (H) / (HP)
Email / : / Race / :
Occupation / : / Religion / :
Highest Academic Qualification / :
FOR COMPANY-SPONSORED APPLICANT ONLY
Name of Organisation / : / UEN* / :
*compulsory
Address / : / S / ( )
Contact Person / : / Contact No. / : / Email / :
Invoice Billing Address / : / S / ( )
Invoice Attention To / : / Contact No. / : / Email / :
DECLARATION & CONSENT

1.I have read and agreed to the attached Terms and Conditions.

2.In line with the Personal Data Protection Act, please tick √ Yes or No to indicate your consent:

Yes, I allow Academy of Human Development (AHD) to use my personal data to contact me for other Courses organized by AHD and Fei Yue Community Services.

No, I don’t allow Academy of Human Development (AHD) to use my personal data to contact me for other Courses organized by AHD and Fei Yue Community Services.

The privacy of your personal data is important to us and we are committed to accord the information the due level of care as presented in this Policy and consistent with the Personal Data Protection Act 2012. Please refer to our website for more details.

Signature: ______Date: ______

Revised:14-Sep-18Page 1

Academy of

Human Development Pte Ltd

Terms and Conditions

Applicable to All participants

  1. Seats are available on a first-come-first-served basis and upon receipt of payment.
  1. Full payment of course fee will have to be made to AHD at least 10 working days prior to course commencement date or before the stipulated date to enjoy the early bird discounts, if applicable.
  1. AHD reserves the right to postpone or cancel the Course due to unforeseen circumstances or low enrolment. For cancellation of Course, fees paid will be fully refunded to participants. For postponement of Course, fees paid will only be fully refunded to participants if participants decide to withdraw from the course.
  1. AHD reserves the right to change the venue, trainer(s) and dates, or revise the programme should circumstances so warrant.
  1. Participants must meet the minimum 80% class attendance and any other course requirements as stipulated for each course in order to be awarded with the Certificate.
  1. AHD will not provide make-up lessons for absentees.
  1. AHD, the hosting organisation, if any, and their staff and agents will not be liable for any death, illness, disability, personal injury, mishap, damage or loss of property or any other loss arising in connection with this course.
  1. AHD may take photos, visual and/or audio recordings of participants during the course and reserve the right to share, use, publicise or publish in print, broadcast and electronic media, quotes, works or photographs derived from this Course.
  1. Postponement Fee - A postponement fee of $100 per time applies for postponement requests made less than 7 working days before course commencement date.
  1. Refund Policy - 100% of the fees paid will be refunded if participants’ written notice of withdrawal is received more than 7 working days before the course commencement date.
  1. Withdrawal Penalty - A withdrawal penalty amounting to the full course fee is applicable if participants’ written notice of withdrawal is received less than 7 working days from course commencement date.

Revised:14-Sep-18Page 1