ELITC - Course Registration

	Electronics Industries Training Centre	Friday, 02 December 2011
	....your first stop in employee training	English \| Chinese

Enrolment Form

Please register the following participants for the course:

Name of Participant	NRIC No.	Education	Designation	Citizenship	Birth DD/MM/YY
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Name of Contact Person:
Designation:
Company Name:
Telephone No:
Fax No:
Email:
Address:
Postal Code:
Are the above applicant(s) company sponsored? Yes No

Refund Policy
1.	If notice of withdrawal is given in writing at least two weeks before commencement of the course, a 100% refund of the course fee will be made; if - less than two weeks before commencement of the course, a 50 % refund will be made; but - there will be no refund if notice of withdrawal is given after commencement of the course.
2.	Confirmation of training places will be made upon receipt of Non-Refundable Registration fee of $20 per head.
Refund Process

Confidentiality
All information will be kept confidential. Prior consent will be sought if information is to be used.

Cheques should be crossed and made payable to:

ELECTRONICS INDUSTRIES TRAINING CENTRE
Blk 5000 Ang Mo Kio Ave 5
#02-08 TECHplace ll
Singapore 569870

CPE / UEN No.: S87SS0027A

CPE Registration Period: 2 September 2011 - 1 September 2015