Singapore Institute of Retail Studies
Modular Courses

Instructions
  1. Please ensure that all sections are completed and "NA" should be inserted where appropriate.
Course Details
Course Applying For *:
Payment Mode *:
Name of Company *:

*Put N.A. if not applicable
Section 1 - Personal Particulars
Name (as in NRIC/Passport) *:

NRIC/FIN No *:

Age *:

Gender *:
Date Of Birth *:
 
Nationality *:
Race *:
Mailing Address *:

Postal Code *:

Handphone No *:

Contact No (Home) *:

Contact No (Office) *:

Email Address *:

 
Section 2 - Declaration by Applicant
I affirm that all the information given in this application is true and accurate to the best of my knowledge and that I have not deliberately omitted any relevant fact. I understand any false or misleading declaration shall make me liable for disqualification, or if already admitted, for expulsion from the programme without any refund of fees paid. I have understood all the terms and conditions. I agree to comply and abide by the decision of SIRS and WDA concerning this application. WDA reserves the right to recover any funding provided if any of the information is falsely declared.
    
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