Trainee Registration Form
Fill out the form carefully for registration
Name (as per NRIC)
*
First Name
Middle Name
Last Name
NRIC
*
Gender
*
Male
Female
Race
*
Chinese
Indian
Malay
Others
Nationality
*
Singapore Citizen
Permanent Resident
Date of Birth
*
-
Day
-
Month
Year
Current Date
-
Day
-
Month
Year
Date
Age
*
Highest Qualification
*
No Formal Qualification & Lower Primary
PSLE
Special Education
Lower Secondary
‘N’ Level or equivalent
‘O’ Level or equivalent
NITEC/Higher NITEC
Diploma
Degree or above
Contact Number
*
E-mail Address
*
Type of Disability
*
Autism Spectrum Disorder
Hearing Impairment
Intellectual Disability
Physical Disability
Visual Impairment
Multiple Disabilities
Description of Disability
*
Employment Status
*
Employed
Unemployed
Date of Last Employment
*
-
Day
-
Month
Year
Current Employer Name
*
Employer UEN
*
Is your current company an SME (Small & Medium Enterprise)?
*
Yes
No
Salary Attained
*
Position Placed
*
Types of Employment
*
Full time
Part time
Temporary/Contractual
Commencement Date of Employment
*
-
Day
-
Month
Year
Date
Referral Source
*
Where did you hear about this training?
Upload a front & back photo of your NRIC
*
Submit
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