Company-Sponsored Enrolment Form

*Selection

Company Name:
Company Address:
Contact Person: / Mr.Mrs.Mdm.Miss / Designation:
Contact: / (O) (H/P) (Fax)
Email:
* Course Type: / Venue: Beach RoadJurong EastIn-house / Language: EnglishMardarin / Start Date:

Billing information

Company Name:
Billing Address:
Attention to: / Contact No:

Pursuant to the Personal Data Protection Act (2012), the information provided are solely for billing and official record (attendance and certification).

S/N / NAME (IN CAPITAL LETTERS) / NRIC / FIN/PP No. / Designation
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Please see terms and conditions overleaf
Payment Structure: / Course fee * x $129.90 (Basic Cardiac Life Support)$90.95 (Re-cert Basic Cardiac Life Support)$101.65 (Adult First Aid)$77.05 (Refresher Adult First Aid)$181.90 (Adult First Aid with AED)$155.15 (Refresher Adult First Aid with AED)$128.40 (CPR+Automated External Defibrillation)$128.40 (Child First Aid for Care-givers)$109.15 (Refresher Child First Aid)$331.70 (Occupational First Aid)$298.55 (Refresher Occupational First Aid) participants / = $

Cheque should be made payable to St. John Singapore before course commencement.

By submitting this enrolment form, you have accepted the terms and conditions listed overleaf and will disseminate them to your employees attending this course.

Contact Person’s Signature / Date / Company’s Stamp

Terms and Conditions

COURSE VENUE

Courses are conducted at St John Headquarters, Jurong Centre or at specified premises of the client. To conduct Occupational First Aid Course at client’s premises, St John Singapore would need to seek clearance from Ministry of Manpower at least two (2) months prior to the course dates.

ELIGIBILITY OF ENROLMENT FOR THE OCCUPATIONAL FIRST AID COURSE

As regulated by Workplace Safety and Health Council, Ministry Of Manpower, companies enrolling employees for Occupational First Aid Course must attained at least secondary two education or level 5 of ESS Workplace Literacy and Numeracy.

INTAKE CAPACITY

The minimum intake for each classwill be of 12 participants, up to a maximum of 18. Acceptance of a course application shall be subjected to class availability and on a first-come-first-serve basis.

COURSE CANCELLATION

St. John Singapore reserves the right to discontinue any course if the number of registered participants fails to meet the minimum class size criteria. St. John Singapore will inform the participants in writing to suggest for postponement. Paid course fee can be fully refunded with request in writing from the company.

MEDICAL CONDITION

Participants have to be medically fit. Participants with medical problems, such as bronchial asthma, any upper respiratory tract infection, orthopedic problems (e.g. slipped disc), are encouraged to consult their own doctors before attending the course. Pregnant ladies are advised to defer taking the course to at least 6 weeks after delivery.

PAYMENT

All Course Fees are subject to the prevailing GST rate(GST Reg. No.: M90361968Y).Payment of course fee shall be made at least two weeks prior to confirmation of course. For cheque payment, it shall be made payable to “St. John Singapore”.

COURSE SUBSIDY

WDA funding is available for OFA, AFA+AED, AFA and CFA. For company-sponsored participant, fees must be paid in full to St John Singapore before applying for WDA subsidy.

COURSE FEE REFUND

100% / Withdrawal notice received > 14 days.
50% / Withdrawal notice received 8 to 14 days before first day of course dates.
0% / Withdrawal notice received 7 days or less before first day of course dates.

A deferment within 3 months is allowed with written notice received not less than 14 daysfrom the commencement of the course.

MEDIUM OF INSTRUCTION:

Courses are conducted in either English or Mandarin.

TRAINERS AND INSTRUCTORS

Courses are led by St. John Association-registered lecturers and instructors.

EXAMINATIONS

Each participant is required to attain a minimum of 75% attendance, failing which he/she shall not be allowed to sit for both the written and practical examinations. Those who fail or miss the examination may write in with valid reasons to apply for a re-sit on payment of a fee:

-First Aid re-test $10.70 (inclusive GST);

-CPR+AED (under the OFAC) re-test $85.60 (inclusive GST).

CERTIFICATION

All certifications (OFA, AFA, CFA, CPR+AED and BCLS) are valid for 2 years upon successful completion.

Participants’ information must be provided correctly during enrolment. Replacement fee of $10.70 (GST included) will be levied for re-issuing of the certificate.

CAR PARKING FACILITIES

Parking lots in St John Headquarters are limited and the parking fee is at S$5.35 (inclusive of GST) per day. HDB parking rate applies for parking at Jurong Centre.

SMOKE FREE CAMPUS

Smoking is prohibited in our premises. Participant caught smoking will be reported to the NEA and subject to statutory penalties.

CONTACT & COMMUNICATION

St John Headquarters @ Beach Road / St John Jurong Centre @ Jurong East
/ 6298 0300 / / 6566 1903 / 6566 1909