Occupational First Aid

Please enter the information in the form below to process course registration.

COURSE DATES :

02-Apr-2025 ( Start Time : 09:30 AM - End Time : 06:30 PM )
03-Apr-2025 ( Start Time : 09:30 AM - End Time : 06:30 PM )
04-Apr-2025 ( Start Time : 09:30 AM - End Time : 03:30 PM )

ASSESSMENT DATES :

04-Apr-2025 ( Start Time : 03:30 PM - End Time : 04:30 PM )
04-Apr-2025 ( Start Time : 04:30 PM - End Time : 05:00 PM )
04-Apr-2025 ( Start Time : 05:00 PM - End Time : 06:30 PM )

VENUE:

Somerset (51 Cuppage Road, #03-03, Singapore 229469)

LANGUAGE:

English

REGISTRATION TYPE *:

Company Sponsored Self Sponsored

Section A : Trainee Details

Trainee Name * :

ID Type * :

ID No. * : Duplicated ID No..

Card Type * :

Date of Birth * :

Age :

Contact Number * :

Email *email already exists :

Nationality * :

Race * : Please select an item in this field list.

Country of birth :* :

Gender * :
Male Female

Address :

Billing Address :

Postal Code :

Billing Postal Code : Same as Address

Apply Shepherd Bursary Award

Section B : Educational Backgroud

Highest Qualification *

Name Of institutions :

Name Of Qualification :

Year of completion :

Educational Certificate :

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Passport Photo *

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Supportive Document *

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Section C : Emergency Contact

Emergency Name *

Relationship *

Emergency Email *

Emergency Mobile *

Section E : Employment Background

Employment Status *
Employed Full Time
Employed Part Time
Unemployed
Never worked

Employer Name *

Company Address *

Designation *

Salary Range *

Industry Sector *

Previous Industry Sector *

Section F : English Proficiency

Please select one of the following options:
English was the language of instruction in your previous studies
I complead an approved English language test(complete details below and ATTACH EVIDENCE)

Section G : Other Information

1. Are you a member of SCC? *
Yes No

2. Are you graduate of Singapore Counselling Centre? *
Yes No

Once you finish your training, would you like SINGAPORE COUNSELLING CENTRE to contact or email you to discuss how you can continue your learning journey at a higher level and what new courses are available? *
Yes No

Section H : Disability/ Special Needs

Do you have any disability / impairment / longterm medical conditions that may affect your studies? *
Yes No

Do you require any additional support in class/ examination due to the above condition? *
Yes No

Please attach the supporting document regarding your condition (e.g. Medical Support/ Memo from the doctor or relevant professional)

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Section I : Special Schemas/ Waivers (If Applicable & Only One Scheme Applies)

Bring-a-friend Scheme *

Group Study Grant *

Progression Waiver

Other, please specify

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4.50% Processing Fees * :

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By registering for this course, I accept Terms and Conditions

Verification Code * :

Existing Company New Company

Occupational First Aid

Section A : Trainee Details

Section B : Educational Backgroud

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Section C : Emergency Contact

Section E : Employment Background

Section F : English Proficiency

Section G : Other Information

Section H : Disability/ Special Needs

Note :File must be JPG, PNG or PDF, Size 1MB.

Section I : Special Schemas/ Waivers (If Applicable & Only One Scheme Applies)

Shepherd Bursary Award Application Form

Accessment Form For Non Diploma Holder

Company Details

Section A : Trainee Details

Section B : Educational Backgroud

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Note :File must be JPG, GIF ,PNG,PDF,Doc,Excel or BMP And Max Size 1 MB.

Section C : Emergency Contact

Section E : Employment Background

Section F : English Proficiency

Section G : Other Information

Section H : Disability/ Special Needs

Note :File must be JPG, PNG or PDF, Size 1MB.

Section I : Special Schemas/ Waivers (If Applicable & Only One Scheme Applies)

Shepherd Bursary Award Application Form

Accessment Form For Non Diploma Holder