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 PayohLorong 4, Singapore 319522
Tel: 6250 3088 Fax: 63569901 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）
中医专业高级文凭（中文）全日制 ADVANCED DIPLOMA IN TRADITIONAL CHINESE MEDICINE (CHINESE)
Form:REG-05
CONFIDENTIAL
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个人资料 PERSONAL DETAILS
身份证号码NRIC/Fin No 360103200509301723 国籍 Nationally：CHINESE 护照号码 Passport No：EN5865444
性别Gender 女Female 婚姻状况Marital Status： 出生日期 Date of Birth：2005-9-30
学历 QUALIFICATION
最高学历 Highest Qualification 高中A Level
毕业院校名称
Name of Institution 		Nanchang Foreign Language School 毕业年份Year Obtained ：2023
职业资料 EMPLOYMENT DETAILS
公司名称 Name of Company 无 职位Occupation：无
公司地址 Address of Company
联系方式CONTACT DETAILS
邮寄地址Mailing Address Room 1404, Building 5, Fulihua Ting, Northeast Corner of the Intersection of Chunhui Road and Jiangbao Road, Honggutan District, Nanchang City, Jiangxi Province 手机号码 Mobile：18870018550
邮编 Post Code 330000 家庭电话号码 Home TEL No.：13807002922
电子邮箱Email 18870018550@163.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： 朋友推荐Recommendation
您学中医的目的 Objective of study TCM： 成为中医师 To be TCM Practitioners
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 2025-03-04 15:30:03 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。