Achieve Safety Training Pte Ltd

(Co Reg No: 201301404M)

6, Yishun Industrial Street 1 #05-02
NorthView bizHub Singapore (768090)
(MOM Accredited Training Provider)
www.achievesafetytraining.com
Contact: 9640 8258

Registration Form for Building Construction Safety Supervisors (Tunnelling) Course

(BCSS-T)
Please complete this application form and email to info@achievesafetytraining.com

Company Name: ____________________________Contact Person: _________________

Company Address: _________________________________________________________
Tel:__________________________ Email: ___________________________________
No Full Name of Applicant NRIC / Nationality Sex Date of Amount
(as per passport/NRIC) WP/EP/SP (M/F) Birth Payable
No
1
2
3
4
5
Total Amount Payable:

Course Date: _____________

Terms & Conditions

1. All participants of BCSS-T shall submit their Work Permit for verification and record keeping.
2. No refund of fee for any withdrawal or absence from the course which has been confirmed.
3. Payment of course fee is required to be made on or before the commencement date of the course. Cheque
should be made payable to Achieve Safety Training Pte Ltd.
4. Confirmation of registration of course will be sent to the applicant’s company by email about two days before the
commencement of the course.
5. Achieve Safety Training Pte Ltd reserves the right to cancel or postpone any course due to unforeseen
circumstances. All dates shown are subject to final confirmation.
6. If the trainee found out to be not proficient in the language he/she registered, Achieve Safety Training Pte Ltd
has the right to reject them.

______________________ ____________ __________________

Signature of Contact Person Date Company Stamp
……………………………………………………………………………………………………………………………………………
Official Use (by ASTPL)
Course Date: ____________ Mode of Payment: (*Cash/Cheque no. ___________________)