新 加 坡 中 医 学 院 ( 新加坡中医师公会主办 )
Singapore College of Traditional Chinese Medicine
640 Toa Payoh Lorong 4, Singapore 319522
Tel: 6250 3088 Email: admin@singaporetcm.edu.sg
申请编号：Application no:   入学编号：Enrolment no:  
报读课程：（通过学院网站报名）
乐龄人士中医健康调护师文凭（中文） - DIPLOMA IN TCM ELDERLY HEALTHCARE THERAPIST (MANDARIN)
Form:REG-05
CONFIDENTIAL
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个人资料 PERSONAL DETAILS
身份证号码NRIC/Fin No S7674838A 国籍 Nationally：Singapore 护照号码 Passport No：
性别Gender 男Male 婚姻状况Marital Status： 出生日期 Date of Birth：1976-06-21
学历 QUALIFICATION
最高学历 Highest Qualification 大专Diploma
毕业院校名称
Name of Institution 		Complete portfolio of WSQ Certificates and Transcripts, LCCI Diplomas, CIBTAC Diploma, ITEC Diploma, Alison certificates, Notarised Chinese Educational Documents, and other relevant certifications. 毕业年份Year Obtained ：
职业资料 EMPLOYMENT DETAILS
公司名称 Name of Company yuyang bright pte ltd & house + Pte Ltd 职位Occupation：manger of spa therapy
公司地址 Address of Company
联系方式CONTACT DETAILS
邮寄地址Mailing Address Block 21,36-117,TEBAN GARDENS ROAD,SINGAPORE,600021 手机号码 Mobile：86680098
邮编 Post Code 600021 家庭电话号码 Home TEL No.：86680098
电子邮箱Email xuefangdu88@gmail.com 公司电话号码 Office TEL No.：
其他 OTHERS
您如何了解到中医学院 How Did you find out about us： 网络广告 online advertisement
您学中医的目的 Objective of study TCM： 成为中医师 To be TCM Practitioners | 养生保健 For Health Maintenance | 掌握一技之长 To learn a skill | 成为其他类中医人才 To engage in other TCM related Professionals
申请人申明 DECLARATION BY APPLICANT
1. 余谨声明，以上填报资料，均属事实 I hereby declare that all the particulars furnished by me in this application are true and correct.
2. 我明白中医学士学位课程不适用于中国籍（包括港、澳、台）申请者 I understand that Bachelor Degree Course in TCM is not applicable to the Chinese Nationality including Hong Kong, Taiwan and Macao.
3. 我明白资料提供不完整者，学院将无法进行入学评估 I understand that the college will not be able to enrol application who provided incomplete information.
4. 我明白报名表格信息仅用于课程管理的目的。 I understand that student’s information in the course application form should only be used for the purpose of course administration.
5. 我明白学院保留不录取申请者的权利 I understand that the College reserves the right to reject any application.
同意 I agree. 申请日期 Date 2026-06-19 23:44:17 网上提交报名表格无需签名
This is an online registration form, no signature is required.
办 公 室 填 写 FOR OFFICE USE ONLY
报名费 Application Fee 收据号码 Receipt No
经办职员 Staff-in-charge 经办日期 Date
注: Student’s particulars are strictly for the purpose of completing course submission information or
　　for other legitimate purposes.学生资料仅用于完成申请课程或其他合法用途。