Eldercare – Page 2

(PFC08H01E)

Programme Date

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Programme Dates (Please select one)*

Personal Information

Full Name*

NRIC (Last 3 digits & 1 character)*

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Date of Birth*

Gender*

Race*

Home Postal Code*

Email*

Mobile Number

Education Level*

Employment Status*

Sponsored by Employer?*

Are you currently looking for a job?*

Payment Mode*

How do you come to know of CFS's training programmes?*

To comply with the Personal Data Protection Act, we would also like to seek your consent to use your personal data to update you about CFS. Please indicate your consent to be added to our mailing list:

PDPA

I declare that all information given in this application form is true and accurate to the best of my knowledge. I have not deliberately omitted any fact. However, should I be accepted for the course, and if any of this information is found to be false or inaccurate, I understand that I will render myself liable for any action taken by CFSincluding civil/disciplinary action, dismissal from course, and forfeiture of course fees or fines. I agree to abide by CFS's decision concerning this application and I accept that CFSreserves the right to cancel or postpone the course without giving any prior reasons to the applicant if there are insufficient registrations to form a class. Once this application is approved, I agree that CFSwill use my personal data for the administrative process of completing this training course. (Signature is not required for online registration.)

Check here to indicate that you have read and agree to this declaration.

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