ENROLMENT FORM (ICHH) YEAR 2023, 2024,2025

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）
Promocode
promocode give by Health Ambassador
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/Passpor （身份证英文全名）*
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
Date of Birth（生日日期）*

DayMonthYear
Gender（性别）*

Male （男）Female（女）
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*

Elementary education（小学水准）Secondary education（中学水准）O Level or equivalent（O水准/同等）A Level or equivalent（A水准/同等）Bachelor's Degree（学士文凭）Master's Degree（硕士文凭）Doctorate's Degree（博士文凭）Vocational School（职业学校）Diploma（文凭）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*

Self-employed（自雇人士）Employed（受雇人士）Unemployed（待业人士）To Put Previous EmploymentRetired（退休人士）
Job Designation（职业称号）*
Are you applying for any of the following government grants?*

SkillsFuture Credit (SFC)（未来技能培训补助）Corporate Sign-up（企业/公司赞助）None（无）
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？*

Family / Friends（家人/朋友）Marketing / Recruit agent（营销/招聘代理）Website（网页）Sprouts Centre（Sprouts 中心）Facebook（脸书）Flyers and brochures（传单）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）。*

Agree（同意）
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*

I understand that admission to the course will be at the sole discretion of the ICHH PTE LTD.A confirmation letter will be given upon acceptance prior to course commencement, unless special consideration is given. It is compulsory for all trainees to sign the Standard PEI – Student Contract.ICHH Pte Ltd reserves the right to instruct a trainee to leave the course at any stage, or to terminate the access of course related information from Course Management System, if the school feels that the trainee(s) continued presence is detrimental to the well-being of other trainees and the staff in general. The school reserves the right NOT to refund any fees paid in such cases
Enrolment of Course*

You are required to pay registration fee within 7 days. Please take note registration fee is not refundable and not transferable to other student. However the registration fee can credit to other course and need to be consume within a year.An admin fee up to 50% of the paid registration fee is chargeable for any deferment requested 30 days before the course commencement date.
Declaration by the student
Declaration

I hereby acknowledge that I have been briefed on the above and that I fully understand what has been communicated to me. I am given an opportunity to ask any question I have.I have read and fully understand the above terms and conditions and that any other oral terms are not binding. I will be given a copy of the completed Student Contract and ICHH Pte Ltd Rules and regulations or equivalent document.I consent to receive updates on course preview or future course via email / SMS / phone call / Whatsapp from the college and the alliance partner, Sprouts Holistic Health Centre and Holistic Vitality International.I consent to allow the college to use my personal data (including my photographs for marketing and publicity).
Signature*

Clear
Date*

DayMonthYear
Date
Payment for local student

You may make payment for registration fee ($350.00) 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.

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

International College of Holistic Health (ICHH)

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

DayMonthYear
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?

YesNo
Did the above student meet the Enrolment Criteria?

YesNo
Specify reason if not met
Declaration by ICHH staff (or recruitment agent)

I hereby confirm that the above information been explained clearly to the applicant.
Signature of staff

Clear
Name of Staff (or recruitment agent)
Name of staff who enrolled the student
Date

DayMonthYear
Date
Registration fee payment method
Payment Remark (if any)
Approval from ICHH Management

Clear
Principal
Date

DayMonthYear
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

International College of Holistic Health (ICHH)

For Official Use only