IELTS(ACADEMIC)COURSE

1、也 MDIS 加 fli帕rf J;9*56 NLiniiHtEiiidiil DckipmLiiit SinH|Mire Whjen lifiistig teaming MDIS LANGUAGE CENTRE APPLICATION FORM IELTS (ACADEMIC) COURSE IELTS (ACADEMIC) EXPRESS COURSE (30 hrs) -7pm - 10pm Commencement Dates - -Kindly tick () the date that you are able to attend. Jan 2008 Time: 7 pm to 1

2、0 pm May 2008 Time: 7 pm to 10 pm Aug 2008 Time: 7 pm to 10 pm Nov 2008 Time: 7 pm to 10 pm Attach Rece nt Photograph Here 1. 2. 2. 3. 4. INSTRUCTIONS: Complete the form in FULL and return with the respective application processing fees to the following address: -MDIS Dhoby Ghaut : 20 Orchard Road S

3、ingapore 238830 Tel: 6733-2333 / 63311-506 Fax: 6338-1048 Attn : Ms Sofia Completed application form must be accompanied by: - a non-refundable application fee - Certified true copies of reCadaemtic certificates: N /O / A Level certificates Diploma/ Degree Certificates Relevant result transcripts Ot

4、her relevant academic documents All payment for application processing fee (non-refundable) may be made by cash, nets, cheque, Visa or Mastercard. Cheques must be crossed and made payable to the Management Development Institute of Singaporeor MDIS. Application form with incomplete information or no

5、application fee will not be considered. Important Note : There will be no refund of examination fees after registration for the examination has been made. A postponement of the examination can be made 5 weeks before the examination date but the Transfer Fee of $65.00 will apply. Essential Fees payab

6、le: Application processing: S$ 20.00 Course fees : -New Students -Remodule/MDIS Students S$ 900.00 S$ 792.00 Course Materials: S$ 50.00 IELTS Specimen Materials: S$ 43.00 Examination Fees: S$ 300.00 Other incidentals : Express Marking Fee S$ 80.00 Transfer Fee * S$ 65.00 Extra Copy of Test Reports S

7、$ 21.00 Total Amount S$ Transfer fee* for change of test dates after registration All fees quoted are subjected to prevailing GST rates. For Official Use Only: Amount: Receipt No: Date: Received By: Batch Intake: I EL DP I EL DX Commencement Date: Date of IELTS Exam: Completed British Council Applic

8、ation Form (attach) Yes / No NRIC / Passport No.: Full Name: (*Mr/ Ms/ Mrs/ Dr) *Delete as appropriate) Address: (Name as in NRIC/ Passport and Underline Surname) Please note that this name will also be used on your examination transcript and certificate. Any future changes must be supported by docu

9、mentary evidence e.g. deed poll Postal Code: Email Address: (O) Co ntact No:(H) (HP) Date of Birth: Nati on ality: Employme nt Status: Marital Status: Nati onal Service: (P) Sex:MaleFemale ORD Date: | Singapore Citizen | Employment Pass | Single Married | Regular | Exempted / | PR Student Pass | Pro

10、fessional Pass 口 Others | Others, please Specify: | Completed Full-time NS man | Not Applicable All copies of transcripts, certificates and degrees must be stamped “ Certified True Copies ” and attached together with the completed application form. Certification may be done by your company. Please s

11、tate down the name, NRIC No. and positi on of the pers on certifyi ng the photocopies. Certificati on may also be done at MDIS upon prese ntati on of the origi nal academic docume nts. SECONDARY SCHOOL / JUNIOR COL LEGE / PRE-UNIVERSITY ( N / O / A LEVELS) From To Title of Qualifications Institution

12、 Mth Yr Mth Yr TERTIARY EDUCATION (DEGREE/ DIPLOMA) From To Title of Qualifications Institution Mth Yr Mth Yr PROFESSIONAL QUALIFICATIONS / OTHERS From To Title of Qualifications Institution Mth Yr Mth Yr HIGHEST QUALIFICATION IN ENGLISH GCE O LEVELGRADE: GCE N LEVELGRADE: OTHERS,PLEASE SPECIFY: GRA

13、DE/ SCORE: You may wish to provide extra information which may assist you in this application. If you have any disability which may affect your learning (e.g. vision, health mobility) you should provide early advice so the Institute can help you. Please attach additional information on a separate sh

14、eet if there is insufficient space. Please indicate how did you first come to know about the course? (Please tick the appropriate box) Press Advertisme nt Website TV/ Radio Brochure/ Mailer/ Flyer Pers onal Con tact Associate Programme Consultant:( name) Lecturer/ Trai ner:( n ame) MDIS Stude nt:( n ame) MDIS Staff:( n ame) Others: I hereby apply for the course as indicated in this form and membership for the Management Development Institute of Singapore. I declare that all the information given is true and correct. I also agree to abide by the decisi on of the In stitute a