BLS/SLT 300 Modular Registration Form

BLS/SLT 300 Modular Registration Form
Name *

First Name Last Name
Student ID *
Student ID is issued upon enrolment into BLS/SLT school.
Email *
example@example.com
Phone Number *

eg: +65 Phone Number
Year Of BLS /SLT200 Graduation BLS200 *
The year you graduated from BLS/SLT 200
I am registering for: *

BLS/SLT 300 [no dates set as yet] BLS/SLT 301 [no dates set as yet] BLS/SLT 302 BLS/SLT 303 [no dates set as yet]

Your Family

This segment be completed ONLY if you have family member/s doing the course with you. If you are signing up as an individual, please indicate "NA" at the following fields
Spouse's Name (Indicate "NA" if register for individual) *

First Name Last Name
Spouse's Student ID *
Student ID is issued upon enrolment into BLS/SLT school.
Spouse's Email (Indicate "NA" if register for individual)
example@example.com
Spouse's Phone Number (Indicate "NA" if register for individual)

eg: +65 Phone Number
Year Of BLS /SLT200 Graduation BLS200
The year you graduated from BLS/SLT 200

Student Agreement *

As a student, I agree to fulfil my responsibilities to the curriculum and to my facilitator by participating in all required activities and staying accountable to finish my assignments.
Course Fee Payment Options
BLS/SLT 302 Course Fees *

S$100 Individual S$120 Married Couple
DBS Current Account.: 015-904025-9 or Cheque payable to "HF Business Leadership Institute Pte. Ltd." *

I will pay via ATM [ After transfer, please send a text alert to +65 9786 6288] I will pay via Internet Banking [ After transfer, please send a text alert to +65 9786 6288 ］
Should be Empty:

Your Family