ENROLMENT FORM (ICHH) YEAR 2026, 2027

International College of Holistic Health (ICHH) 整合自然疗法国际学院

716A Geylang Road, Singapore 389629 Tel:+65 67432141 www.ichhsg.com
Enrolment Form（报名表格）
Refer by (Full Name) *If have
Title of your course （课程）
Batch Intake and Medium of Instruction （批次）
Others (Please fill in your prefer year and month 请选择您倾向的年份和月份）
Particulars of the Applicant

申请者个人资料
Full Name as in NRIC/Passport （身份证英文全名)

First NameLast Name
Name in Chinese (中文名)
Nationality（国籍）
Identity Type（身份证类型）
NRIC No/Fin No/ Passport No（完整的身份证号码 / FIN号码 / 护照号码）
Others please provide Passport No.
Expiry Date of Pass (For Non-Singaporean and Non-SPR)

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Date of Birth（生日日期）

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Gender（性别）
Contact No（联络号码）
Email（电邮）
Address（完整地址）
Please provide full address, including unit number (if any)
Highest Education Level

Other（其他）
Person to contact in case of emergency（紧急联络人姓名）
Contact Number of the Emergency Contact（紧急联络人电话号码）
Current Employment Status
Job Designation（职业称号）
Are you applying for any of the following government grants?
For corporate sign-up, please fill up the following information (企业/公司赞助，请填写以下信息）
i. Company UEN（公司注册号）
ii. Employer Contact person （公司联络人）
iii. Company Contact number （公司联络号码）
iv. Company Contact's email address （公司联络电邮）
Source of Recruitment
How do you get to know about our course or college?（您是如何知道我们的课程或学院的？

Other（其他)
I consent to receive updates on new courses, or course related learning information via SMS, email and phone call.（我同意通过短信、电子邮件和电话接收新课程的更新或与课程相关的学习信息）。
College's rights and policies（学院的权利和政策）

Please acknowledge √ each of the following information before you sign-up the course.（请您在注册课程之前，确认以下每一项信息，然后填 √ )。
Rights of the College
Enrolment of Course
Declaration by the student
Declaration
Optional Consent to Receive Communications from Sprouts Holistic Health

I understand that Sprouts Holistic Health is an independent organisation and an alliance partner of ICHH that supports the operation of the ICHH Learning Club.

I may choose to receive news, invitations and updates about wellness seminars,
educational courses, Learning Club activities and related promotional offers from Sprouts Holistic Health.

By selecting “Yes”, I consent to ICHH sharing my name and email address with Sprouts Holistic Health for these communication purposes, and to Sprouts Holistic Health contacting me by email. I understand that I may withdraw my consent at any time.

My decision to provide or withhold consent is entirely voluntary and will not affect my enrolment, learning experience, assessments or completion of my ICHH programme.
Please select one:
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Payment for local student

You may make payment for registration fee ($325.00) via the below methods:

(i) PayNow - Our UEN number is 200712434N
(ii) Online bank transfer - Our OCBC Account number is 712883339001

Please indicate your full name in the reference field and take a snapshot of transaction and whatsapp to ICHH enquiry at 88096291.

For oversea student, please make your payment of $325 through credit card （只是海外学生需要填写）

SGDRegistration Fee

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

International College of Holistic Health (ICHH)

716A Geylang road, Singapore 389629 Tel:+65 67432141 www.ichh.com.sg
Receipt
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Payment Made for Enrolment fee
Student Name
This is computer generated. No signature is required.
For subsequent course fees, you can make payment through following method

(i) PayNow - Our UEN number is 200712434N (You may also scan the attached QR code
(ii) Online bank transfer - Our OCBC Account number is 712883339001

For Official Use only
Course Start Date
Invoice Due Date
Did the above student apply skill future credit?
Did the above student meet the Enrolment Criteria?
Specify reason if not met
Declaration by ICHH staff (or recruitment agent)
Signature of staff
Name of Staff (or recruitment agent)
Name of staff who enrolled the student
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Registration fee payment method
Payment Remark (if any)
Approval from ICHH Management
Principal
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Should be Empty:

International College of Holistic Health (ICHH) 整合自然疗法国际学院

Enrolment Form（报名表格）

Particulars of the Applicant

Source of Recruitment

College's rights and policies（学院的权利和政策）

Declaration by the student

For oversea student, please make your payment of $325 through credit card （只是海外学生需要填写）

International College of Holistic Health (ICHH)

For Official Use only