REGISTRATION FORM

Course Intake:28 Apr 2018

Time: 9.00am – 5.30pm

Course Duration:7 Hours Lectures (Excluding breaks)

Course Fee: S$120.00 + 7% GST per participant

(Fees inclusive of training material and tea breaks)

Closing for registration:Two weeks before course commencement.

Personal Particulars
Name of Participant: / Atchara Saengrattanadej / Gender: / M / F
(In Capital Letters) / (Name stated will be printed on the Certificate)
NRIC / Passport No.: / Nationality: / Singaporean / PR / Foreigner
Contact Nos.: / +66 850228991 / (O) / (M) / Email: /
Designation: / Length of service in this Company: / Yrs / Mths
SDU Points: / Applicable / Not Applicable (7 SDU Points will be awarded)
Company Name: / EXXONMOBIL LIMITED
Company Address: / 22ND FLR., Q HOUSE LUMPINI BUILDING., 1 SOUTH SATHORN RD, THUNGMAHAMEK, SATHORN, BANGKOK 10120, THAILAND
HR Contact Person: (Mr. / Miss / Mrs. / Mdm) / ATCHARA SAENGRATTANADEJ
Contact Nos.: / +6621638628 / (O) / (F) / Email: /
Payment Details
Please make your cheque payable to
CDAS LOGISTICS ALLIANCE (LTD) and send it with your completed registration form to 9 Jurong Town Hall Road, #04-12, TA Hub, Jurong Town Hall, Singapore 609431. Please indicate the respective name(s) of participant(s) and company name at the back of the cheque.
All successful registrants will receive a confirmation via email/fax. Should confirmation not be received, registrations are deemed unsuccessful.
Cancellation/Postponement Policy
An administrative fee of $20.00 (subjective to 7% GST) will be charged to the participants (or their companies) for any withdrawal / postponement received in writing with less than 3 working days before the course commencement. No refund of course fees will be made for cancellation received thereafter. The organizer reserves the right to make any amendments and/or changes to the programme, venue, and/or topics if warranted by circumstances beyond its control. / Please Select appropriately: (compulsory info required by SSG)
SalaryRange / AgeRange / Total No. of Employees:
Below $750/mth / Below 20yrs
$750 - $999/mth / 20 – 24yrs
$1,000 - $1,499/mth / 25 – 29yrs / I wish to apply for SkillsConnect grant.
Yes
No
$1,500 - $2,999/mth / 30 – 34yrs
Over $3,000/mth / 35 – 39yrs
40yrs & Above
Educational Qualifications
PSLE & Below
Secondary Education / NTC-3 (less than “O” Levels)
“O” Levels / NTC-2 or equivalent
“A” Levels / ITC or equivalent
Diploma or equivalent
Degree & Above
REGISTRATION INFORMATION
Online / / Fax / 6376 2590
Email /
/ - Seth Chen (Tel: 6376 5927)
- Benjamin Lee (Tel: 6376 5925)
Venue / CDAS Logistics Alliance (Ltd)
9 Jurong Town Hall Road, #04-12, TA Hub, Jurong Town Hall, Singapore 609431

*By completing the registration form, you expressly consent to CDAS collecting, using and disclosing the personal data provided in the form for the purposes of membership soliciting and future event publicity. Please refer to the back page of this form for CDAS PDPA policy.

By submitting this application form to CDAS, I hereby warrant that all the information I have submitted in this Form is true and accurate to the best of my knowledge. I further understand that any personal data* which I have provided in this form may be processed by CDAS or any of its vendors and/or subcontractors ("CDAS’ connected entities") both locally and overseasand I expressly consent to such processing for the purposes specified in CDAS’ Privacy Policy. Please refer to CDAS’ Privacy Policy at for more details.

I also warrant that I have obtained all necessary consents from any third parties for CDAS to disclose any personal data belonging to such third parties as well as for the onward disclosure or processing of such third party personal data by CDAS.

I understand that any personal data disclosed by me herein will be retained by CDAS' connected entities as long as any of the purposes set out in CDAS’ Privacy Policy remain valid.

Note:

* - "Personal Data" as defined in the PDPA means data, whether true or not, about an individual who can be identified from that data or from that data and other information to which CDAS has access.