Registration form

Centre

Programme

Intake ID:

Commencement Date:

STUDENT INFORMATION

NRIC/Passport No :

Full Name (as in NRIC/Fin/Passport):

Gender:

Race:

Date Of Birth:

Age :

Citizenship

Nationality:

Type of Pass / Work Pass

Are you International Student?

Marital Status :

Mobile No :

Tel No :

Office No :

Email Address :

Home Address :

Postal Code :

NEXT OF KIN

Full Name

NRIC

Relationship to Applicant

Home No. :

Office No. :

Mobile No. :

Email Address :

EDUCATION BACKGROUND

Institution :

Qualification :

Year Attend :

Country of Study

Add More

EMPLOYMENT HISTORY

Company :

Position :

Date

From :

To :

Years of Working :

Add More

Company Details:

Company Name

Contact Person :

Contact Person Designation :

Contact Person Number :

Company's Address :

HOW DID YOU HEAR ABOUT US?

Personal Data Protection

BMC is committed to enforcing the Personal Data Protection Act 2012. Please let us know how BMC can
communicate with you on marketing matters by ticking ( ) the relevant box(es):

Mobile

Fax

E-mail

Snail Mail

I do not wish to take part in any marketing. Please opt me out of this.

DECLARATION BY THE STUDENT

I have read and I fully understand the above terms and conditions and that any other oral terms are not binding. I further acknowledge that

I have been given a copy of the Student Handbook and that all fees paid to the school will be protected under the Fee Protection Scheme

except for course application and miscellaneous fees.

I confirm that i have read and understood the above Terms and Conditions, and agree to abide by them.