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COURSE APPLICATION CHECKLIST

Certificate in Bridging Studies for Enrolled Nurses


Thank you for applying for the above course. Please attach this checklist together with your supporting
documents to CET Academy (by post or CET Academy drop box) within one week of the online
application. Your course application is complete only upon submission of all required supporting
documents listed in the course brochure. We regret that only completed application will be processed.

PERSONAL PARTICULARS
Name: ____________________________________________________________________
(As per NRIC/ passport, underline your family name)

NRIC/ FIN No./ WP:____________________ Application ID: __________________________


Telephone No.: _____________________

Email: __________________________

COMPULSORY DOCUMENTS CHECKLIST


Please ensure the following documents are submitted to CET for the processing of your
application. Please put a against the items that are submitted to CET.

Copy of front & back of your NRIC/ Employment Pass/ Work Permit/ Passport

1 passport-sized photographs (we do not accept scanned photographs)

Copies of relevant academic/ educational certificates


(Notarial translation for certificates not in English)

Documents of employment records or curriculum vitae/ resume stating employment


history, job titles and job description of all employment

For company sponsored applicants, please provide letter of support on the company
letter head (Letter should be signed off with the contact details and designation of the
signatory)

APPLICANTS DECLARATION
I declare that the information in this checklist and any sheets attached hereto are true and I
have not wilfully suppressed any material fact. I accept that if any information given by me in
this document is any way false or incorrect, I may be removed from the course and have to
pay the full course fees to Ngee Ann Polytechnic.
Signature: _______________________ Date: _______________________

Jan 2015 Intake


Updated as of Nov 2014

NGEE ANN POLYTECHNIC


COMPANY SPONSORSHIP DECLARATION FORM
This form is to be completed by companies who wish to sponsor their employees for the course with
funding support. The sponsored employee must submit the form to the CET Academy, Ngee Ann
Polytechnic, with other documents when accepting the offer. The form requires Applicants particulars
and Companys details. It will take approximately 10 minutes to complete.

Part I: Applicants Particulars


Applicants Name:
NRIC/FIN No:
Funding by Company:

Others, please specify


______% funded by
company

100% funded by company

(Check as applicable)

Part II: Companys Details


Registered Name Of Company:
Company Registration Number:
Companys Principal Activity:

Others (Please specify):

Instruction: Please use codes found on Page 2 of this form to complete this question

Is your company a SME*?


Please indicate Yes or No
SME is defined as
i. at least 30% local shareholding; AND
1
2
3
ii. Group annual sales turnover of not more than $100 million OR Group employment size of not
more than 200 employees.
1
Group tracing: All corporate shareholder(s) holding more than 50% of total shareholding of the company and any
subsequent corporate parents. All subsidiaries of the company.
2
Annual sales turnover refers to the revenue or sales turnover stated on the companys income statement.
3
A company should include in its employment size any persons employed under a contract of service in accordance
to the Employment Act. This is regardless of the nationality of the employee.

Mr / Ms / Mrs / Mdm / Dr (Please delete whichever not applicable)


Contact Person:
Designation:
Company Address:

Postal Code:
Phone No:

Fax:

Email:
Payment:

By Cheque:

(Cheque No.)

Request for invoice/ e-invoice


*If an invoice is required, please submit this form prior to payment of course fees. The invoice
will be provided upon request. No invoice will be issued after payment is made.

Jan 2015 Intake


Updated as of Nov 2014

Part III: Companys Confirmation


We confirm that
We will pay the full fee amount due, including miscellaneous and module repeat fees as
necessary. The sponsored employee will be administratively withdrawn from the course should we
default on the payment of course fees.

All information provided is true, complete and accurate and that we have not withheld or distorted
any information or particulars required under this Form. We understand that if any information or
particulars provided by us is false, inaccurate, distorted or misleading in any way, Ngee Ann
Polytechnic reserves the right to withdraw the sponsored employee from the course and recover
the subsidized portion of the course fees from the company.

We understand that the course fee grant is provided to eligible Singapore Citizens and Permanent
Residents subject to the governing terms and conditions of the prevailing funding framework.

Name / Designation of
Officer-in-charge

Officer-in-charge
Signature

Name (CEO / GM /
Director)

Signature (CEO / GM /
Director)

Company Stamp

For Ngee Ann Polytechnic Office Use Only

Company Profile Updated

(Name)

(Date)

CODES: COMPANYS PRINCIPAL ACTIVITY


1

Manufacturing

12

Administrative & Support Service Activities

Construction

13

Social & Community

Shipping, Transport & Logistics

14

Legal, Accounting & Auditing

Architectural, Engineering, Land Surveying &

15

Business & Management Consultancy

Technical Services

16

Research & Development

Public Administration & Defence

17

Hotels & Restaurants

Communications & Media

18

Advertising Services & Market Research

IT & Related Activities

19

Arts, Entertainment & Recreation

Real Estate, Rental & Leasing

20

Financial & Insurance

Education

21

Personal & Other Services

10

Wholesale Trade

22

Healthcare

11

Retail Trade

23

Others

Jan 2015 Intake


Updated as of Nov 2014

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