Agape Learning Academy Course Registration

Preferred Course

Full Name (as in NRIC/Passport)

NRIC or ID No.

Date of birth

Nationality

Email Address

Mobile number

Gender

Course Sponsorship

City

State (if Applicable)

Postal code

Country

Occupation

Education/ Qualification Level

Company Name

Name of HR Partner

Email Address of HR Partner

Contact Number of HR Partner

Provide company UEN number
(https://www.bizfile.gov.sg)

Company Address for Invoice

Name on Invoice
(if different from above)

Number of Participants for Invoice For group registrations,
a participant name list will be requested upon reciept of your registration

Please upload your payment receipt after completing the payment.

Do you agree with refund policy?
I acknowledge that a confirmation email will be sent to me two weeks prior to the commencement of the class. I understand that in the unlikely event the class is cancelled, I will have the option to receive a refund or to enroll in the next available course.

Yes No

I agree to the collection and use of my personal data for the purpose of course registration and communication.

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Agape Learning Academy Course Registration