CIC Enrolment Form CIC Enrolment Form康 佛 国 际 学 院CAMFORD INTERNATIONAL COLLEGE PTE. LTD.Address: 1, Park Road, People’s Park Complex #04-55/56, Singapore 059108Tel: (+65) 6323 7393 | Email: administrator@cic.edu.sg | Website: www.cic.edu.sg | GST Reg No: 200002539Z Please enable JavaScript in your browser to complete this form.1. Students Particulars 学生信息First Name (NRIC/Passport) 名 (身份证/护照) *请输入英文名(拼音名)Last Name (NRIC/Passport) 姓 (身份证/护照) *请输入英文姓(拼音姓)Gender 性别 *Please select a gendermalefemaleothersDate of Birth 出生日期 *Mobile No 手机号码 *Select country code, then enter your phone number. 选择国家代码,然后输入您的电话号码。Address 地址 *Provide full residential address details with postal code. 提供完整的居住地址和邮政编码。NRIC/FIN/Passport No 身份证/外籍身份证/护照号码 *Date of Expiry 有效期限Only for Work Pass and Passport. 只适用于工作准证和护照Malaysian IC/Passport No 马来西亚身份证/护照号码only for Work Pass holders. 仅用于工作准证持有人Nationality 国籍 *Email 电子邮件 *Please enter your email, so we can follow up with you. 请输入您的邮箱,以便我们与您进行后续联系。Company Name 公司名称Company Address 公司地址Industry 行业別 *Finance 金融业Sales & Marketing 销售&市场Retail 零售业F&B 饮食业Technician 技术人员Manufacturing 制造业Logistics 物流IT 资讯科技业Construction 建筑业Healthcare 医疗保健Security 保安Transportation 运输业Education 教育Self-Employed 自雇人士Unemployed 无业人士Beauty 美容业Others 其它Other Industry 其它行業別 *Occupation 职业 *Salary Scope 薪资范围 *SGD 0~2000SGD 2001~4000SGD 4001~6000SGD 6001~8000Above SGD 8000Education Consultant 教育顾问 *Aileen LeeJohn PuahApple SongBeibei2. Reference Particulars 参考信息*Should the student be below 18 years of age, the reference person mentioned above will be official party entering into this agreement with the company. *如果学生未满18岁,上述参考人将作为与公司签订此协议的正式当事人。 Reference Name 参考人姓名 *Reference Mobile No 参考人手机号码 *Relationship With student 与学生的关系 *3. Enroll in course 注册课程Payment Methods 支付方式 *Full Course Fee 全额学费Installment Payment 分期付款Course Category 课程类别 *AcademicLanguageSelect courses to enroll in 选择注册课程 (Academic) *International Advanced Diploma in Business Management (Mandarin) (E-Learning)International Advanced Diploma in Business Management (E-Learning)International Diploma in Business Management (Mandarin) (E-Learning)International Diploma in Business Management (E-Learning)International Advanced Diploma in Business Management (Mandarin)International Advanced Diploma in Business ManagementInternational Diploma in Business Management (Mandarin)International Diploma in Business ManagementOTHM Level 7 Diploma in Strategic Management And Leadership (E-Learning)OTHM Level 7 Diploma in Strategic Management And Leadership (Mandarin) (E-Learning)Select courses to enroll in 选择注册课程 (Language) *Certificate in English (Beginner) (E-Learning)Certificate in English (Elementary) (E-Learning)Certificate in English (Beginner)Certificate in English (Elementary)Course Commencement Date 课程开始日期 *Please select...Course Completion Date 课程结束日期 *Please select...4. My Commitment 我承诺The undersigned has agreed to pursue the above-mentioned course(s) at Camford International College Pte. Ltd. I understand that I must pay fully for the whole course(s). If I apply to pay a portion of the course fee by instalments, and I have to suspend my learning due to personal reasons or otherwise, I understand that I am obligated to fulfill my commitment and pay up the balance of the course fee. *Refer to the Standard PEI Student Contract for more information. *Download Student’s Handbook from www.cic.edu.sg. *Application Fee is non-refundable. (SGD87 for all English courses; SGD196 for all Certificate, Diploma and Advanced Diploma courses; SGD1068 for OTHM courses) 本人同意在剑桥国际学院有限公司(Camford International College Pte. Ltd.)就读上述课程。我理解必须全额支付整个课程费用。如果我申请分期付款,且因个人原因或其他原因暂停学习,我理解我有义务履行我的承诺并支付剩余的课程费用。 *有关更多信息,请参阅标准PEI学生合同。 *从www.cic.edu.sg下载学生手册。 *申请费不予退还。(英语课程为SGD87;所有证书、大专和高级大专课程为SGD196;OTHM课程为SGD1068)5. My Consent 我同意I hereby agree and consent that Camford International College (CIC) may collect, use, disclose and process my personal information for the following purposes: (a)Providing me with the services, course information, special promotions, any updates on course information and/or examination. (b)Contacting me for the overdue payment. (c)Sending me marketing, advertising and promotional information about courses and services that CIC, CIC’s affiliates, business partners and related companies may be offering which CIC believes may be of interest or benefit to me (Marketing Messages), by way of postal mail, electronic mail to the email I provide and to my telephone number(s) by way of voice call, phone call, text message and fax. (d)By signing below, I present and warrant that I am the user and/or subscriber of the telephone number(s) as set out in this enrolment form. I have read and understood all of the above. 我在此同意并允许剑桥国际学院(CIC)可以收集、使用、披露和处理我的个人信息,用于以下目的: (a) 为我提供服务、课程信息、特别促销、任何课程信息和/或考试的更新。 (b) 就逾期付款联系我。 (c) 通过邮寄、电子邮件、电话、短信和传真,向我发送CIC、CIC的附属公司、业务合作伙伴和相关公司提供的课程和服务的市场营销、广告和促销信息(Marketing Messages),这些信息可能对我有兴趣或有益。 (d) 通过在下方签名,我声明并保证我是本报名表中列出的电话号码的用户和/或订户。我已阅读并理解以上所有内容。 Opt out for point (c)Opt out for point (c) (退出(C)选项)Please be informed that you have the right to opt out of receiving Marketing Messages. Kindly note that if you do not exercise your right to opt out of receiving such marketing messages, you will be deemed to have consented to the receiving of such Marketing Messages by CIC, CIC’s affiliates, business partners and related companies, and CIC, CIC’s affiliates, business partners and related companies will continue to provide such Marketing Messages to you. 请注意,您有权选择不接收市场营销信息。如果您不行使选择退出接收此类营销信息的权利,将被视为您已同意接收CIC、CIC的附属公司、业务合作伙伴和相关公司发送的此类营销信息,CIC、CIC的附属公司、业务合作伙伴和相关公司将继续向您提供此类营销信息。6. Privacy Policy 隐私政策Personal information collected will be used mainly for evaluating application, internal business and admin purposes. The school will restrict access of personal information to authorized personnel, partner universities, colleges, and/or external agencies on a need to know basis accordingly. 收集的个人信息主要用于评估申请、内部业务和行政目的。学校将根据需要限制对授权人员、合作大学、学院和/或外部机构的个人信息访问。7. Payment Instructions(a) Local Singapore Cheques must be crossed in favour of Camford International College Pte. Ltd (b) For credit card payments, student may visit CIC campus and make payments at the reception counter. Alternatively, student can choose to do online credit card payment through Hitpay link provided by Academic Consultant. (c) Any bank transfer must be payable to DBS Bank Account Number 0039016034. Student must inform CIC immediately with proof of payment after bank transfer transaction. (d) Student can perform cash payment ONLY IN CIC Campus. CIC shall not bear any responsibility for any cash payment made outside CIC without the issuance of official receipt. If student is unable to visit CIC, then student must use bank transfer option, as stated in point 6(c). (a) 新加坡本地支票必须划线支付给Camford International College Pte. Ltd。 (b) 对于信用卡付款,学生可以访问CIC校园并在接待处付款。或者,学生可以选择通过学术顾问提供的Hitpay链接进行在线信用卡付款。 (c) 任何银行转账必须支付到DBS银行账号0039016034。学生必须在银行转账交易后立即通知CIC并提供付款证明。 (d) 学生只能在CIC校园进行现金付款。CIC不对在CIC外进行的任何现金付款承担任何责任。I accept the terms and conditions above *I accept the terms and conditions above 我接受以上条款和条件I accept the terms and conditions above (copy) *I certify that the information I have provided above are true to the best of my knowledge without any malice or any intention to commit acts of misrepresentation.I am aware that I solely bare for the consequences due to any false, misleading, or deceptive information provided, and shall not find fault from Camford International College. 我保证我所提供的信息在我所知的范围内是真实的,没有任何恶意或意图进行虚假陈述。我明白,我会一人全力承担因提供任何虚假,误导或欺骗性信息而造成的后果,并且不会向康佛国际学院追究责任。Register for courses 报名课程