Online Application Form |

Online Application Form

All fields are compulsory. Application deadline: 10 October 2016    

1. Participant Details

Salutation:

If others, please specify:

First Name:

Last Name:

Designation:

Department:

Organisation:

Address of Organisation:

Nationality:

Office Number:

Mobile Number:

Email Address:

Dietary Restrictions (if any):

No. of years related experience:


2. Programme Expectations

Motivation for joining this programme? (1 - 2 sentences)

Describe your current role in your organisation. (1 - 2 sentences)


3. Payment Details

Cost of Programme

Participants based in Singapore or Hong Kong

  • S$13,588.00
    (Inclusive of return flights from Singapore to Hong Kong / Hong Kong to Singapore on Singapore Airlines or Cathay Pacific Airlines, airport transfers, daily two-way transfers between hotel and programme venue, and 6-night accommodation in Singapore / Hong Kong)

Overseas participants (outside of Singapore or Hong Kong)

  • S$15,088.00
    (Inclusive of return/one-way flights from Singapore to Hong Kong, airport transfers, daily two-way transfers between hotel and programme venue, 6-night accommodation in Singapore, and 6-night accommodation in Hong Kong)

*Fee is based on per-person basis and includes food, refreshments, site visits and learning support materials. The fee does not include visa, accommodation, transport, insurance or other living expenses while in Singapore. These costs will need to be covered by participants. LKY School does not provide scholarships or financial aid for this programme.

*Participants should arrange their own visa to Singapore and Hong Kong in their home country (if applicable), and cover their living expenses while in Singapore and Hong Kong.
*Overseas participants should cover travel costs to/from Singapore.

*The LKY School does not provide scholarships or financial aid for this programme.

*Goods and Services Tax (GST) is applicable for Singapore-based participants and overseas participants who are self-funded or sponsored by Singapore organisations. Please refer to Application Form for note on GST.

*Additional requirements on flight or accommodation can be arranged. Please contact us for more details.

*Nominees from non-profit and non-governmental organisations may qualify for discounted rates. Please contact us for more details.

Mode of Payment:

Sponsored by:

SUB-BU Code (only if sponsored by Singapore Government Agencies):

Payment Contact:

First Name:

Last Name:

Designation:

Department:

Organisation:

Billing Address:

Office Number:

Mobile Number:

Email:

Important Note:

Kindly complete the Application Form and submit together with a copy of the participant’s CV (file size limit 2MB) either by email or post. Applications will be prioritized on a FIRST COME, FIRST SERVED basis. The LKY School reserves the right to determine the final list of participants taking diversity into account.

The participants are expected to have a general proficiency and understanding of the English language, as this will be the medium of instruction.

Submit digital copy of CV (file size limit: 2MB):


4. Cancellation Policy

Once confirmed, should the participant cancel four (4) weeks before the programme, the LKY School will charge the participant or the sponsoring organisation a cancellation fee equivalent to 50% of the course fee. LKY School reserves the right to postpone or cancel the programme by giving at least 14 days notice.

I have read the cancellation policy and accept its terms


5. Additional Information

How did you hear about this course? (You may select more than one option)

Previous LKY School Executive Education programme participantLKY School AlumniLKY School WebsiteLKY School EmailLKY School NewsletterProgramme BrochureInternet SearchLKY School TwitterLKY School FacebookOthers; (Please specify:)

Please indicate below if and how you wish to be contacted about programmes and exclusive events from LKY School in the future. (You may select more than one option)

Phone numberMobile NumberEmailPostNo, I do not wish to be contacted

LKY School will use the above information to contact you regarding the programme. We will not share any of your personal information without your written consent.

Please note that photography, audio and video recording may occur during the programme. All photography, audio and video recording may be used by National University of Singapore (NUS) for education, marketing, promotional and/or publication purposes. If you do not wish to have your image recorded or published for this programme please inform us via email before the start of the course.

Send your application materials to us by email or post. Put “INNOVATIONS IN URBAN MANAGEMENT: LESSONS FROM SINGAPORE AND HONG KONG” as the email subject line or on the envelope flap.

You can also submit your application ONLINE. Visit www.lkyspp.nus.edu.sg/executive-education/ for more details.


6. Form Submission

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