JPN-IRPEC Online Application Form |

JPN-IRPEC Online Application Form

1. Participant Details

Salutation * :

If others, please specify:

First Name * :

Last Name / 姓 * :

Designation * :

Department* :

Organisation * :

Address of Organisation * :

Nationality * :

No. of years related experience:

Office Number: * :

Mobile Number: * :

Email Address * :

Dietary Restriction (if any):

Self-Assessment of English Proficiency:


2. PROGRAMME EXPECTATION

Motivation for Joining the Programme (1 - 2 Sentences)

Describe your current role in your organisation (1 - 2 Sentences)


3. PAYMENT DETAILS

S$6,450 + 7% GST*
(INCLUSIVE OF LUNCH, REFRESHMENTS AND LEARNING SUPPORT MATERIALS)
*Fee is based on per-person basis and includes food, refreshment and learning support materials. Overseas participants should arrange their own visa, travel costs from Singapore, accommodation, transport and cover their living expenses while in 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 or overseas participants who are self-funded or sponsored by Singapore organisations.

Mode of Payment* :
Sponsored by:

Please state the SUB-BU Code 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 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.

*Please submit a copy of the participant’s CV (filesize limit: 2MB) *


D. 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.

Please indicate below if and how you wish to be contacted about programmes and exclusive events from LKY School in the future* :
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.

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