CPR+AED (Asynchronous e-learning)

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

COURSE DATES :

20-Jan-2025 ( Start Time : - End Time : )
23-Jan-2025 ( Start Time : 09:30 AM - End Time : 09:45 AM )

ASSESSMENT DATES :

23-Jan-2025 ( Start Time : 09:45 AM - End Time : 10:15 AM )
23-Jan-2025 ( Start Time : 10:15 AM - End Time : 11:30 AM )

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 * :

ID Pass Type * :

ID Pass Number :

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 :

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

Passport Photo *

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

Supportive Document *

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

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)

IELTS
TOEFL
PTE Academic
Workplace Literacy and Numeracy(WPLN)
Others

Section G : Other Information

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

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

3. How did you come to know about us? *

Google

Facebook

SCC Events

Press Advertisement

Online Advertisement

Word Of Mouth

Referral

Education Fair

Networking Event

Newspaper

HR Manager

Melbourne office

WAI Website

SSG website

Others

Please select about SCC

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 Please select Yes or No

Section H : Disability/ Special Needs

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

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

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

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

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

Bring-a-friend Scheme *

1. Fill up the Bring-a-Friend Scheme Form
2. For more details, click here.

Please fill in your friend's details

Group Study Grant *

1. Fill up the Group Study Grant Form
2. For more details, click here.

Progression Waiver

1. For Singapore Counselling Centre graduates who progress within a year from the date of graduation
2. For more details, click here.

Other, please specify

Shepherd Bursary Award Application Form

Name of applicant * :

NRIC No. / Fin * : Duplicated ID No..

Contact No. * :

Email Address* :

Programme applied for * :

Please share why you want to study for this course* :

Please share why you want to study at the ACC Institute of Human Services.* :

Accessment Form For Non Diploma Holder

Name of applicant * :

NRIC No. / Fin * : Duplicated ID No..

Contact No. * :

Email Address* :

Programme applied for * :

Please tell us more about your work or any related experience that might help you in the study and understanding of this course* :

Kindly share with us what you would hope to achieve upon completion of this course.* :

SIGN by the Student

Clear Signature Confirm

-----------------------------------------------
Client Sign

Name:

NRIC/ Passport No:

Date:

Course Amount * :

Payment Method * :

Cheque No. * :

Upload File : * Support gif | jpg | png | jpeg

4.50% Processing Fees * :

Total Payable Amount * :

By registering for this course, I accept Terms and Conditions

Verification Code * :

Existing Company New Company

Company Details

Company Name * :

UEN* :

Company Name

If this is not your company, Please check the UEN entered.

Company Address * :

Postal Code* :

Click if same as Company Address

Billing Address * :

Billing Postal Code*:

Contact Person Email*Email already exists. Please input correct email id or register via client portal :

Contact Person Name * :

Contact Person Contact Number* :

Ext. :

Section A : Trainee Details

Trainee Name * :

ID Type * :

ID No. : Duplicated ID No.

Email *email already exists :

Card Type * :

ID Pass Type * :

ID Pass Number :

Date of Birth * :

Age :

Contact Number * :

Country Of Birth* :

Gender * : Male Female

Nationality * :

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

Home tel no * :

Same as Address

Address :

Billing Address :

Postal Code :

Billing Postal Code :

Apply Shepherd Bursary Award

Section B : Educational Backgroud

Highest Qualification *

Name Of institutions :

Name Of Qualification :

Year of completion :

Educational Certificate :

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

Supportive Document *

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

Passport Photo *

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

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)

IELTS
TOEFL
PTE Academic
Workplace Literacy and Numeracy(WPLN)
Others

Section G : Other Information

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

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

3. How did you come to know about us? *

Google

Facebook

SCC Events

Press Advertisement

Online Advertisement

Word Of Mouth

Referral

Education Fair

Networking Event

Newspaper

HR Manager

Melbourne office

WAI Website

SSG website

Others

Please select about SCC

Section H : Disability/ Special Needs

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

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

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

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

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

Bring-a-friend Scheme *

1. Fill up the Bring-a-Friend Scheme Form
2. For more details, click here.

Please fill in your friend's details

Group Study Grant *

1. Fill up the Group Study Grant Form
2. For more details, click here.

Progression Waiver

1. For Singapore Counselling Centre graduates who progress within a year from the date of graduation
2. For more details, click here.

Other, please specify

Shepherd Bursary Award Application Form

Name of applicant * :

NRIC No. / Fin * : Duplicated ID No..

Contact No. * :

Email Address* :

Programme applied for * :

Please share why you want to study for this course* :

Please share why you want to study at the ACC Institute of Human Services.* :

Accessment Form For Non Diploma Holder

Name of applicant * :

NRIC No. / Fin * : Duplicated ID No..

Contact No. * :

Email Address* :

Programme applied for * :

Please tell us more about your work or any related experience that might help you in the study and understanding of this course* :

Kindly share with us what you would hope to achieve upon completion of this course.* :

Clear Signature Confirm

-----------------------------------------------
Client Sign

Name:

NRIC/ Passport No:

Date:

Course Fees :

Course Amount * :

Payment Method * :

Cheque No. * :

Upload File : * Support gif | jpg | png | jpeg

4.50% Processing Fees * :

Total Payable Amount * :

By registering for this course, I accept Terms and Conditions

Verification Code * :

Thank you! You are Successfully Registered!

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