Course Registration for Company If you are human, leave this field blank. Registrant(s) Course Date Type of Course Competent Person Course - Confined Space Attendant Course Confined Space Entry & Rescue Course Industrial Rope Access Course - Level 1 Industrial Rope Access Course - Level 1 Industrial Rope Access Course - Level 2 Industrial Rope Access Course - Level 2 Industrial Rope Access Course - Level 3 Industrial Rope Access Course - Level 3 ISO Auditor Courses Managing Work At Height Course Rescue From Height Course SRAA Industrial Rope Access Course - Advanced SRAA Industrial Rope Access Course - Basic SRAA Industrial Rope Access Course - Intermediate Tower Climbing Course Work At Height Course For Workers Work At Height Train The Trainer Course (WAH TTT) First Name Last Name Date of birth Work experience in Singapore Less than a year 1 - 3 Years 4 - 6 Years 6 years above Identification No. (NRIC / FIN / Work Permit/Passport Number) Nationality Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d‘Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Option 213 Residential Status Singapore Permanent Resident Non-Permanent Resident Applying SkillsConnect Fuding for Singaporean & PR Yes No Add another registrant Remove Billing information First name Last name Email Designation Company name Company address Postal code Industry Construction Marine Chemical Manufacturing Others Category type Main Contractor Scaffold Contractor M&E Sub Contractor Others Tel number Fax number Mode of Receipt for the Certificate & ID Cards Self-collection Registered Mail ($4 postage for up to 5 delegates, thereafter $0.50 per delegate) Payment method Offline Payment (Cheque, Wire or Bank transfer)
