Application for Professional Business Course(s)

Application for Professional Business Course(s)
Application and Payment Procedure
- Applicants must be 16 years old or above upon commencement of PSB Academy programme.
- The completed application form should be accompanied with:
  - Course fee based on selected programme (non-refundable and non-transferable)
  - Original and photocopies of Passport / NRIC / Work Pass (Front and back)
- Full set of application documents must reach PSB Academy at least 2 weeks before programme commencement.
- Payment can be made to PSB Academy Pte Ltd via a cashier’s order or crossed cheque, PayNow (UEN:200704825E) and POSB i-banking. Cash, NETS and Visa/Master Card payment are also available at PSB Academy campus. For company-sponsored applicant, payment must be made by company cheque. Please indicate the Name of Applicant, NRIC/FIN, Programme Title and Programme Commencement Date on the reverse side of the cheque.

Student 2 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 2)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 3 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 3)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 4 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 4)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 5 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 5)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 6 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 6)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 7 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 7)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 8 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 8)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 9 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 9)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 10 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 10)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.
Student 11 Particulars
Name of Applicant*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
NRIC/FIN*
IdentityType*

SingaporeanSingapore PRWork PassDependant PassStudent PassOther
Please upload Front and Back copies of your Identity card*

Browse Files
NRIC/Work Pass/Dependant Pass/Student Pass/Other Cancelof
Nationality
If "Others" Nationality, please enter your Nationality here
Contact Number*

Area CodePhone Number
Email Address*
example@example.com
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address same as Residential Address*

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Declaration of Vaccination Status for COVID-19

(Student 11)
Please select a relevant option for you:*

I am a fully vaccinated person.I am medically ineligible for vaccination against COVID-19.I had recovered from COVID-19.None of the above.
Please indicate the effective date of 'fully vaccinated' status:*

MonthDayYear
Example: 12-25-2021
Please upload medical certificate from Ministry of Health (MOH):*

Browse Files

Cancelof
Click here for doctor's letter reference.
Please provide the end date of the 180-day period stated in Singapore Ministry of Health (MOH) discharge letter or SMS notification.*

MonthDayYear
Example: 12-25-2021
I declare that*

I am fully aware and will comply with Singapore government's Vaccination-Differentiated Safe Management Measures.
Click here for more information on VDSMM.

Course Details and Refund Policy
I declare that I have been briefed on the following:*

Programme structure, mode of assessment, commencement date, duration, type of award, application procedureThe commencement of each course is subjected to the minimum number of students.Fee information, payment schedule and modes of payment available.The fee paid is not transferrable to another person or another courseFull refund will be made in the event of non-commencement of the course.Withdrawal & Refund policy

Declaration
Please acknowledge below:*

I hereby apply for the above-mentioned programme. I declare that the information given in this form is true and complete. I understand that if falsified information is submitted, admission will be rescinded. I accept that PSB Academy reserves the right to select and reject applications for programme admissions without any reason given.PSB Academy respects the protection of personal data. By providing the information in this form, I have given consent that the information be used for the processing and evaluation of my application by PSB Academy and/or University Partners. I also understand and agree that if I am admitted as a student, any personal information that I may provide to PSB Academy at any point of time during the study whether through manual or electronic channels will be used for the provision of student support and administrative services to me. In addition, this information will be stored by PSB Academy and/or University Partners and used for the dissemination of information including services, events and products offered by PSB Academy that may be of interest to me. For more information on PSB Academy data protection policy, please refer to http://www.psb-academy.edu.sg/pdpaI understand fully what has been communicated to me and I hereby acknowledge that I have been briefed on all the above.
Final Total
Total amount to be paid based on {totalCourses} courses selected is S$ {totalFee81}. Please click submit and {pleaseSelect71} will get back to you.
Total amount to be paid based on {totalCourses} courses selected is S${finalTotal}. Please click submit and proceed to make the payment.
Total amount to be paid based on {totalCourses} courses selected is S${totalFee81}. Please click submit and proceed to make the payment.
Should be Empty:

Application for Professional Business Course(s)

Programme Application Details

Student Particulars

Declaration of Vaccination Status for COVID-19

Funding and Sponsorship

Additional Students

Student 2 Particulars

Declaration of Vaccination Status for COVID-19

Student 3 Particulars

Declaration of Vaccination Status for COVID-19

Student 4 Particulars

Declaration of Vaccination Status for COVID-19

Student 5 Particulars

Declaration of Vaccination Status for COVID-19

Student 6 Particulars

Declaration of Vaccination Status for COVID-19

Student 7 Particulars

Declaration of Vaccination Status for COVID-19

Student 8 Particulars

Declaration of Vaccination Status for COVID-19

Student 9 Particulars

Declaration of Vaccination Status for COVID-19

Student 10 Particulars

Declaration of Vaccination Status for COVID-19

Student 11 Particulars

Declaration of Vaccination Status for COVID-19

Course Details and Refund Policy

Declaration