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Course Registration for Professional Certificate in Solution-focused Brief Therapy - Public Registration
This is the course registration for the Professional Certificate in Solution-focused Brief Therapy
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* Indicates required question
Email
*
Your email
Workshop Intake
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2024 August Intake - 18, 25 August & 01 September 2024, 9am to 6pm
Part A: Personal Information
Salutation
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Choose
Dr
Mr
Ms
Mdm
Mrs
Name as per NRIC
*
Your answer
Name to be stated on certificate
*
Your answer
NRIC/FIN No.
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other:
Home Address
*
Required for the issuance of the letter of completion
Your answer
Contact Number
*
Your answer
Reasons for joining this workshop
*
We would like to hear your thoughts
Your answer
Part B: Education Background
Highest attained education level
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Doctoral (PhD)
Master
Bachelor Degree
Diploma
A Levels
Others
Highest attained education background
*
E.g. Psychology, Mass Media, Business, A levels
Your answer
Do you have at least a bachelor's degree?
*
Yes
No
If you answered 'yes' to the previous question, please provide the following information about your institution and course of study.
For example:
Institution: National University of Singapore Course of Study: Bachelor of Business Administration (B.B.A.)
Your answer
Part C: Employment Background
Current occupation
*
Your answer
Current organisation
*
Your answer
Last occupation before retirement (for retirees only)
Your answer
Part D: Emergency Contact
In the event of emergency, who should we contact?
Salutation
*
Dr
Mr
Ms
Mdm
Mrs
Contact Name
*
Your answer
Relationship
*
Your answer
Contact Number
*
Your answer
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