Registration 2

Registration Form

This registration form will take about 5 minutes to complete.

Section 1: Personal Particulars

* Indicates required field

Full Name (as per NRIC / Passport) *

Gender *

Name to be printed on the certificate *

Nationality *

NRIC / Passport Number *

If Other, please specify: *

Date of Birth (DD/MM/YYYY) *

Mailing Address

Address Line 1 *

City / State *

Address Line 2 *

Postal Code *

Country *

If Other, please specify: *

Mobile Number *

Email *

Section 2: Course Options

You may register up to three (3) different courses with this registration form.

Course 1 *

Course 1 Date (DD/MM/YYYY) *

Course 2 *

Course 2 Date (DD/MM/YYYY) *

Course 3 *

Course 3 Date (DD/MM/YYYY) *

Section 3: SkillsFuture Singapore (SSG) / SkillsFuture Credit (SFC)

Applicable for Self-Paying Singapore Citizens and Singapore Permanent Residents only. Applicable for selected courses only. Subsidy / Funding is pre-approved with the condition that the candidate achieve 100% attendance and successfully passing the assessment. All subsidy / funding is subjected to SSG's prevailing policies and their final approval. Candidates are liable for the full course fee in the event that the SSG subsidy / funding is not approved. All fields in this section is compulsory.

Companies sponsoring their employees will be required to log-in to www.skillsconnect.gov.sg for the application of all SSG subsidy / funding. Absentee Payroll may be claimable.

Race *

If Other, please specify: *

Employment Status *

Name of Employer / Company *

Monthly Basic Salary *

Designation *

If Other, please specify: *

Highest Education *

If Other, please specify: *

I declare that I do not have any income source other than the income source(s) declared as indicated in the above. I understand that I may be subject to checks for the documents submitted and income declaration made. I also hereby declare the above information is correct.

Select One *

I confirmed that I've not claim for subsidy / funding previously for the applied course(s).

Select One *

I'll be using my SkillsFuture Credit (SFC) to offset the course fee.

Select One *

I'll be claiming this amount from my SFC account. *

As part of the booking process, candidates are required to pay an Attendance Guarantee Deposit (ADG) equivalent to the SFC amount that the candidate is claiming. Wine Language Pte Ltd will reimburse the ADG via cheque, when the SFC claim is approved and disburse to us. Please provide the name payable on the cheque.

Name on the Cheque *

Please submit a copy of your NRIC, front and back for verification purposes. Please upload in JPEG or PDF format.

Front of NRIC *

Max file size: 20MB

Back of NRIC *

Max file size: 20MB

WTS Letter, if applicable *

Max file size: 20MB

Section 4: Payment Mode

Registration is confirmed upon payment received. Please wait for our confirmation that we have received your registration form before making payment.

Payment Mode *

Payee: Wine Language Pte Ltd
Bank / Swift Code: OCBC/OCBCSGSG (Oversea-Chinese Banking Corporation Limited)
Bank Code: 7339
Branch Code: 647
Account Number: 647702489001

For overseas transaction, please include a $20.00 bank service fee per transfer.

Section 5: Company Information

Please fill up if the candidate is sponsored by the organization and require the invoice to make attention to the organization. For sponsored candidate, results if applicable, will be sent to the organization unless requested otherwise.

Name of Company *

Billing Address

Address Line 1 *

City / State *

Address Line 2 *

Postal Code *

Country *

If Other, please specify: *

Company's Authorized Personnel / Contact Person *

Designation *

Contact Number *

Email *

Section 6: Candidate / Organization Declaration

Your details will be kept confidential by Wine Language Pte Ltd (WLPL). Your details may be used by WLPL to contact you and/or keep you informed of our events and courses. You hereby consent WLPL to send you marketing, advertising, and promotional information through email, voice-call, text message and/or fax, in accordance to Personal Data Protection Act 2012 (PDPA). This will remain effective until you inform WLPL of any changes.

I / We have downloaded and/or read and understand the Terms and Conditions as given by Wine Language Pte Ltd.

Select One *

Candidate's Name *

Designation (required if sponsored by an organization) *

Date *

Name of Company's Authorized Personnel *

Date *

Designation (required if sponsored by an organization) *

By submitting this form, you agree that Wine Language Pte Ltd may contact you via any forms of communications, not limited to mobile phone, email and/or social media.

We'll contact you as soon as we receive your registration form.

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