Enrolment Application Form

Enrolment Application Form
PRIVATE & CONFIDENTIAL

Your personal data is important to us. Its use and storage comply with the requirements of the Personal Data Protection Act 2012.
Date

MonthDayYear
Date
Course

Local Student (Long Course)Local Student (Short Course)International Student
Name of course
PERSONAL DETAILS:
FULL NAME as in NRIC/Passport:
NRIC No/Passport No./FIN:
Citizenship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Contact Number (Home)
Please enter a valid phone number.
Contact Number (Mobile)
Please enter a valid phone number.
Date of Birth:
Gender:

MaleFemale
Race:
Marital Status:

SingleMarriedOthers
Type of Pass/Work Pass:
IN CASE OF EMERGENCY, CONTACT PERSON:
FULL NAME:
Relationship to Applicant:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number:
Please enter a valid phone number.
EDUCATION BACKGROUND
HIGHEST ACADEMIC QUALIFICATION/INSTITUTION/COUNTRY
SPONSORSHIP (Name of Sponsoring Company, Contact Person, Position, Contact No.)
How did you know about BMC International College?

FamilyFriendsBannersNewspaperFlyer/BrochureInternetOthers
PERSONAL DATA PROTECTION
BMC is committed to enforcing the Personal Data Protection Act 2012. Please let us know how BMC can communication with you on marketing matters.
Marketing Matters

MobileSnail MailFaxEmailI 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 Fee Protection Scheme except for course application and miscellaneous fees.
FULL NAME
NRIC/PASSPORT NO.
Date

MonthDayYear
Date
Signature

Clear
To be signed by Parent / Guardian if student is below 18 years old.
FULL NAME OF THE PARENT/GUARDIAN
NRIC/PASSPORT NO.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty: