ENROLMENT FORM (ICHH)

International College of Holistic Health (ICHH)

716A Geylang road, Singapore 389629 Tel:+65 67432141 www.ichh.com.sg
Enrolment Form
Title of your course *
Batch Intake *
Medium of Instruction *
Particulars of the Applicant
Full Name as in NRIC/Passport *
NRIC No/Passport No. *
Singaporean/SPR provide NRIC No., others provide Passport No.
Date of Birth *

Day Month Year
Gender *

Male Female
Race *

Chinese Malay Indian Other
Marital Status *

Married Single Other
Nationality *
Contact No *
Email *
Address *
Please provide full address, including unit number (if any)
Highest Education Level *

Elementary education Secondary education O Level or equivalent A Level or equivalent Bachelor's Degree Master's Degree Doctorate's Degree Vocational School Diploma Other
Person to contact in case of emergency *
Contact Number of the Emergency Contact *
Current Employment Status *

Self-employed Employed Unemployed Retired
Job Designation *
Are you applying for any of the following government grants? *

SkillsFuture Credit (SFC) Corporate Sign-up None
Source of Recruitment
How do you get to know about our course or college? *

Family / Friends Marketing / Recruit agent Website Sprouts Centre Facebook Flyers and brochures Other
I consent to receive updates on new courses, or course related learning information via SMS, email and phone call. *

Agree
College's rights and policies

Please acknowledge each of the following information before you sign-up the course.
Rights of the College *

I understand that admission to the course will be at the sole discretion of the ICHH PTE LTD. A confirmation letter will be given upon acceptance prior to course commencement, unless special consideration is given. It is compulsory for all trainees to sign the Standard PEI – Student Contract. ICHH Pte Ltd reserves the right to instruct a trainee to leave the course at any stage, or to terminate the access of course related information from Course Management System, if the school feels that the trainee(s) continued presence is detrimental to the well-being of other trainees and the staff in general. The school reserves the right NOT to refund any fees paid in such cases
Enrolment of Course *

You are required to pay registration fee within 7 days after you have been selected for admission. Please take note registration fee is not refundable and not transferable to other student. However the registration fee can credit to other course and need to be consume within a year. An admin fee up to 50% of the paid registration fee is chargeable for any deferment OR withdrawal requested 30 days before the course commencement date.
Declaration by the student
Declaration *

I hereby acknowledge that I have been briefed on the above and that I fully understand what has been communicated to me. I am given an opportunity to ask any question I have. I have read and fully understand the above terms and conditions and that any other oral terms are not binding. I will be given a copy of the completed Student Contract and ICHH Pte Ltd Rules and regulations or equivalent document. I consent to receive updates on course preview or future course via email / SMS / phone call / Whatsapp. I consent to allow the college to use my personal date (including my photographs for marketing and publicity).
Signature *

Clear
Date *

Month Day Year
Date

Pay the registration fee now, or skip and pay later using other method (pls inform the enroller).

SGD Registration Fee

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

For Official Use only
Did the above student meet the Enrolment Criteria?

Yes No
Specify reason if not met
Declaration by ICHH staff (or recruitment agent)

I hereby confirm that the above information been explained clearly to the applicant.
Signature of staff

Clear
Name of Staff (or recruitment agent)
Name of staff who enrolled the student
Date

Day Month Year
Date
Registration fee payment method
Payment Remark (if any)
Approval from ICHH Management

Clear
Name of Manager
Date

Day Month Year
Date
Should be Empty:

International College of Holistic Health (ICHH)

Enrolment Form

Particulars of the Applicant

Source of Recruitment

College's rights and policies

Declaration by the student

For Official Use only