CPHRM Programme Application Form

Registration for Certified Professional Human Resource Manager (CPHRM)

This programme is jointly developed by the Singapore Human Resources Institute & Gallup. For more information on CPHRM, see https://shri.org.sg/cphrm
Type of Sponsorship*

Self-SponsoredCompany Sponsored
CPHRM Intake No & Commencement Date*

A. Participant Personal Details
Full Name (as per NRIC/FIN/Passport)*
NRIC/FIN/Passport/UIN*
Date of Birth*

DayMonthYear
Phone Number*

Country CodePhone Number
Email*
example@example.com
Citizenship*
Please specify your nationality: *
Please specify your race: *
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have any disability/impairment/long-term medical conditions that may affect your studies?*

YesNo
If Yes, please provide details:*
Do you require any additional support in class due to the above condition?*

YesNo

B. Education & Employment Background
Education Qualifications*
Please upload your latest qualification

Alternatively, you can submit this at a later date through email before the commencement of the course.
Cancelof
Employment Status*

Full-TimePart-TimeUnemployed
Designation*
Name of Company *
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Industry Sector*
Please upload your latest CV:*

Cancelof

C. Emergency Contact Details
Emergency Contact Name*
(As per government ID)
Relationship*
Emergency Contact Number*

Country CodePhone Number

D. Company Billing Details

If your course registration is company-sponsored, please provide your company’s billing details for invoicing.
Name of Company*
Company UEN*
Billing Contact Person*
Billing Contact Number*

Country CodePhone Number
Billing Email Address*
example@example.com
Billing Address*

Block/House No.

Street Address

Unit No.State / Province

Postal / Zip CodeCountry
Discount Code (if applicable):

TERMS & CONDITIONS
- All training dates are accurate at time of publication and SHRI Corp reserves the right to amend the dates whenever necessary.
- SHRI Corp reserves the right to reschedule or cancel any course in the event of unforeseen circumstances and every effort will be made to inform the applicant &/or trainee at the earliest possible time via mode of contact provided.
- For Classroom Mode: Hard copy of course materials will not be provided (soft copy of course materials will be emailed to trainees upon receipt of course fees/before commencement of course).
- Course fees shall be paid upon the issuance of invoice once the course commencement is confirmed and prior to attendance of course.
- For those who are company sponsored, payment for the course must be by the sponsoring company.
- Payment can be by PayNow, Internet Banking, bank transfer and Credit Card (except UOB Credit Card). We do not accept cash payment.

CANCELLATION & POSTPONEMENT POLICY
- No cancellation or withdrawal or postponement is allowed upon our notification of the course commencement. However, one time replacement of trainee is allowed at no extra charge.
- Replacement of trainee is acceptable only if the new trainee is qualified for the funding criteria where applicable; and that trainee particulars are received prior to the course commencement.
- Penalties for cancellation or withdrawal will be imposed as follow:
  - At least 14 working days before course commencement: 50% of course fees
  - Less than 14 working days before course commencement: 100% of course fees
  - No show on course commencement: 100% of course fees
- All cancellation or withdrawal or postponement must be notified in writing to SHRI Corporation and subject to approval and will be duly acknowledged.
PRIVACY POLICY – PERSONAL DATA PROTECTION ACT
In line with Personal Data Protection Act, SHRI Corp hereby informs you on the collection, use and disclosure of all applicants’ and trainees’ personal data. Personal data are required and collected during the registration of courses for some/all of these purposes:
- Trainee’s personal data
  (A) Requirement of a unique identity for course registration
  (B) Verification of training grant application by companies
  (C) Post training survey
  (D) Updates on future courses
  (E) All other training related matters
- Contact Person’s personal data
  (A) Point of contact to receive course status update, invoices and all other correspondences
  (B) Updates on future courses

I hereby apply for the above mentioned course. 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 SHRI Corp reserves the right to select and reject applications for course admissions without any reason given.

SHRI Corp honours the protection of personal information/data. By providing the information/data in this form, I have given my consent that the information/data provided can be used for the processing and evaluation of my application by SHRI Corp and/or Partner Organisations. I am also agreeable that if I am enrolled as a student, any personal information/data that has been provided by me to SHRI Corp at any point of time during the course of the study whether manual or electronic channels will be used for the provision of student support and administrative services to me. I give my consent to SHRI Corp and its affiliated organisations to use my personal data/Information for activities such as upcoming events, seminars, workshops, conferences and training programmes organised by SHRI Corp and its affiliated organisations which may be relevant to me. ("Services").

1. I hereby give my acknowledgement and consent to SHRI Corp to use my personal data for the aforesaid Purposes and Services. In the event that I have registered my Singapore telephone numbers(s) with the Do Not Call Registry and wish to withhold or withdraw my consent to SHRI Corp in respect of receiving telephone calls and/or SMS, I endeavour to provide sufficient notice in writing to SHRI Corp of such as soon as reasonably practicable. I further agree to indemnify SHRI Corp against any financial penalties imposed by the Personal Data Protection Commission or any court of law in Singapore as a direct or indirect result of my failure to inform SHRI Corp of my registration with the Do Not Call Registry.

2. I hereby authorise, agree and consent to allow SHRI Corp and its affiliates to use my data that is at prevailing to the terms and conditions that can be found at http://www.shri.org.sg/pdpa/
Should be Empty:

Registration for Certified Professional Human Resource Manager (CPHRM)

A. Participant Personal Details

B. Education & Employment Background

C. Emergency Contact Details

D. Company Billing Details

TERMS & CONDITIONS

CANCELLATION & POSTPONEMENT POLICY

PRIVACY POLICY – PERSONAL DATA PROTECTION ACT