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SG-TAP Workshop Request Form
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1
Applicant's Name
*
This field is required.
First Name
Last Name
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2
Applicant's Organisation
*
This field is required.
Please Select
Changi General Hospital
KK Women's & Children Hospital
National Cancer Centre Singapore
National Dental Centre Singapore
National Heart Centre Singapore
National Neuroscience Institute
Outram Community Hospital
Sengkang Community Hospital
Sengkang General Hospital
Singapore General Hospital
Singapore National Eye Centre
Singhealth Polyclinic
Please Select
Please Select
Changi General Hospital
KK Women's & Children Hospital
National Cancer Centre Singapore
National Dental Centre Singapore
National Heart Centre Singapore
National Neuroscience Institute
Outram Community Hospital
Sengkang Community Hospital
Sengkang General Hospital
Singapore General Hospital
Singapore National Eye Centre
Singhealth Polyclinic
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3
Applicant's Email
*
This field is required.
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4
Applicant's Contact No.
*
This field is required.
This is to allow us to contact you for clarifications.
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5
Is the applicant also the trainer of the workshop?
*
This field is required.
YES
NO
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6
Trainer's Name
*
This field is required.
First Name
Last Name
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7
Trainer's Organisation
*
This field is required.
Please Select
Changi General Hospital
KK Women's & Children Hospital
National Cancer Centre Singapore
National Dental Centre Singapore
National Heart Centre Singapore
National Neuroscience Institute
Outram Community Hospital
Sengkang Community Hospital
Sengkang General Hospital
Singapore General Hospital
Singapore National Eye Centre
Singhealth Polyclinic
Please Select
Please Select
Changi General Hospital
KK Women's & Children Hospital
National Cancer Centre Singapore
National Dental Centre Singapore
National Heart Centre Singapore
National Neuroscience Institute
Outram Community Hospital
Sengkang Community Hospital
Sengkang General Hospital
Singapore General Hospital
Singapore National Eye Centre
Singhealth Polyclinic
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8
Trainer's Email
*
This field is required.
example@example.com
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9
Trainer's Contact No.
*
This field is required.
This is to allow us to contact you for clarifications.
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10
Name of Workshop
*
This field is required.
You can check the latest list of workshop at https://www.sgtap.org/workshop-listing-shs/
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11
Workshop Start Date
*
This field is required.
The Workshop Start Date must be at least 20 days from today.
-
Date
Day
Month
Year
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12
Workshop End Date
*
This field is required.
Only one extension of the end date will be allowed.
-
Date
Day
Month
Year
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13
Upload List of Participants
*
This field is required.
Please ensure the list is in Excel format with the following columns: First Name, Last Name, Work Email (the email address should be in small letters).
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Max. file size
: 48.8MB
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