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Stamford Raffles College

Online Application Form

 

Course Applied for *
Specialisation

 

Personal Details (Please fill all details)

Name *
Gender *
Date of Birth  *
Nationality *
IC/Passport No. *
Place of Birth *

 

Contact Details (Please fill all details)

Permanent Address *
Correspondence Address *
Email *
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Telephone No *
Alternate Telephone No
Mobile No +

 

Education Background (Please fill all details)

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Year

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English Proficiency

  Date Taken Grade / Band / Score
English 119
IELTS
TOEFL

Others, Please specify

 

Employment History (Please fill all details)

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Position
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Year from - to
Position
Employer
Brief Description of
Duties and Responsibilities

 

Declaration

I declare that to the best of my knowledge the information contained in this form is correct and complete.

I understand that if I provide incorrect information this may result in my ineligibility for admission and / or enrolment. I also recognise that it is my responsibility to provide all necessary supporting documentary evidence.

 

 

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Imperial House, 120 Oxley Rise, Singapore 238709.
Tel: (65) 6339 3688 Fax: (65) 6337 8065
enquiry@src.edu.sg
CPE Registration No. 199800288K
26 September 2011 to 25 September 2015

edutrustpro-with-reg-number-nov-2011

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