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Page 1: Kaplan Learning Institute Pte Ltd
Page 2: Kaplan Learning Institute Pte Ltd

Kaplan Learning Institute Pte LtdKaplan City Campus @ PoMo 1 Selegie Road, #06-01 Singapore 188306 (65) 6733 1877 [email protected] kaplan.com.sg/kli Registered with Council for Private Education UEN: 199701260K Validity: 20/05/2014 – 19/05/2018

Cert No. EDU-2-2022Validity: 19/7/2015 - 18/7/2019

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Page 3: Kaplan Learning Institute Pte Ltd
Page 4: Kaplan Learning Institute Pte Ltd

Professional Programme for Singapore QP May 2016 Enrolment Form

All information contained in this brochure is accurate at time of print (April 2016). Kaplan Learning Institute reserves the right to vary this information should the circumstances so require.

KAPLAN LEARNING INSTITUTE (CPE UEN No: 199701260K) is the registered PEI name of Kaplan Learning Institute Pte Ltd.

FOR OFFICE USE ONLY

Receipt No:

Date:

Attended by:

Course Fee: $

M M Y Y D D

Have you studied at Kaplan Learning Institute before?

D Signature: ___________________________________________________ Date:

Referral (if any), please specify:

Yes No

If answer is No, please state your major: ____________________________________________________________

Did you Major in Accounting during your degree? Yes No

Title of Degree & Awarding Institution: _______________________________________________________________

Local OverseasCountry of Degree:

M M Y Y D

Mode of Payment

Payable to “Kaplan Learning Institute Pte Ltd”

Cheque No.:Cash Nets Visa/Mastercard

Where did you learn about us?

Newspaper (please state): _______________________________________ Magazine Internet

Referral from a friend/colleague Others (please state): ___________________________________

I agree to the terms and conditions stipulated on the overleaf.

I would like to receive information and/or marketing offers from Kaplan:

SMS PhoneEmail

BLOCK letters)

Title:

Full Name as in Passport: (Please underline surname)

Date of Birth (DD/MM/YY): Gender:

Nationality:

For PR/WP/EP/S holder, please state:

Address in Singapore:

Company Name:

Designation:

Tel (Home): +65 Mobile: +65

Email Address:

Mr

SingaporeanWP

Male

Miss

PREP S Others: ___________

Female

Mrs

Date: Month:

NRIC No.:Fin No.:

Year:

Passport No.:Nationality:

BlkUnitStreet Name

Postal Code

Mock Exam questions and answer papers will be available for collection from

1 June 2016 (Wednesday) at PoMo Level 6, Material Collection Centre.

Course & mock exam - $875

Mock Exam questions and answer papers will be available for collection from

1 June 2016 (Wednesday) at PoMo Level 6, Material Collection Centre.

Course & mock exam - $875