IMSC Course Application Form – International Students

Section A

Programme Details (all fields are mandatory)

Course Applied For

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Course Intake Date

Section B:

Personal Particulars (all fields are mandatory; please write in capital letters)

Prefix

First Name

Middle Name

Last Name

Birth Certificate No.

Race

Religion

Gender

MaleFemale

Date of Birth (DD/MM/YY)

(DD/MM/YY)

FIN No. (if applicable)

Email Address

Nationality

Province/State & Country of Birth

Occupation

Employment/Dependent Pass Exipiry Date

(if applicable)

Marital Status

SingleMarried DivorcedWidowed

Type of Travel Document Held

Passport No

Passport Issue Date

(DD/MM/YY)

Passport Expiry Date

(DD/MM/YY)

Country of Issue

Place of Issue

Singapore Residential Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Singapore Tel No.

Home Country Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Home Country Tel No

Emergency Contact

Name

Relationship

Email Address

Tel No.(with country & area code)

Section C:

Information Required for Student’s Pass Application

Country

Address

Period of Stay (From)

(DD/MM/YY)

Period of Stay (To)

(DD/MM/YY)

Country

Address

Period of Stay (From)

(DD/MM/YY)

Period of Stay (To)

(DD/MM/YY)

Country

Address

Period of Stay (From)

(DD/MM/YY)

Period of Stay (To)

(DD/MM/YY)

Have you ever been refused entry into or deported from any country, including Singapore?

YesNo

Have you ever been convicted in a court of law in any country, including Singapore?

YesNo

Have you ever been prohibited from entering Singapore?

YesNo

Have you ever entered Singapore using a different passport or name?

YesNo

If any of the above answers is Yes, please provide details here

Section D:

Applicant’s Family Members (if applicable; all fields are mandatory)

Applicant’s Parents and/or Step Parents

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Applicant’s Spouse

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Applicant’s Natural Siblings

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Full Name(as in Passport)

Relationship

Date of Birth

(DD/MM/YY)

Nationality

NRIC / FIN No.(if applicable)

Occupation

Residential Status in Singapore(if applicable)

Section E:

Applicant’s Education History (in chronological order; include courses attended in Singapore)

Name of School / College / University

Country & State / Province

Language of Instruction

Qualification Awarded

From

(DD/MM/YY)

To

(DD/MM/YY)

Educational Certificate No.

Name of School / College / University

Country & State / Province

Language of Instruction

Qualification Awarded

From

(DD/MM/YY)

To

(DD/MM/YY)

Educational Certificate No.

Name of School / College / University

Country & State / Province

Language of Instruction

Qualification Awarded

From

(DD/MM/YY)

To

(DD/MM/YY)

Educational Certificate No.

Obtained pass in English

YesNo

Section F:

Applicant’s Employment History (include practical training, industrial attachment & internship in Singapore)

Name of Company

Country & State / Province

Position Held

From

(DD/MM/YY)

To

(DD/MM/YY)

Nature of Duties

Remarks/Explanation (if any)

Section G:

Applicant’s Financial Support

ApplicantAverage Monthly Income for Past 6 Months (SGD)

ApplicantCurrent Savings (SGD)

FatherAverage Monthly Income for Past 6 Months (SGD)

FatherCurrent Savings (SGD)

MotherAverage Monthly Income for Past 6 Months (SGD)

MotherCurrent Savings (SGD)

SpouseAverage Monthly Income for Past 6 Months (SGD)

SpouseCurrent Savings (SGD)

Other sources of financial support

YesNoe.g. scholarship, study loan, funds from relatives – please furnish supporting documents

SGD

Section H:

Referral Contact (only if applicable)

Referred By Existing Student

NRIC No. / FIN

Student ID

Tel No.

Name of Agent

Section I: Important Information on Standard PEI-Student Contract

(a) As stipulated by CPE with the aim of enhancing the confidence of students and their parents in the quality of education in Singapore, we will enter into a standard PEI-Student Contract with all our students.
(b) The contract lays out the important terms and conditions governing the relationship between the student and IMSC.

We will honour the terms and conditions spelt out in the contract and in all communication materials. A copy of the standard student contract is available for inspection upon request and also on the CPE website (www.ssg.gov.sg/cpe/pei.html).

Refund Policy

(c) The Student will be entitled to a refund of the entire Course Fees and Miscellaneous Fees already paid, save the non-refundable application fees, should the Student decide to withdraw, within 7 working days of the following notice:

IMSC does not commence the Course on the Course Commencement Date;
IMSC terminates the Course before the Course Commencement Date;
IMSC does not complete the Course by the Course Completion Date;
IMSC terminates the Course before the Course Completion Date;
IMSC has not ensured that the Student meets the course entry or matriculation requirement(s) as set by IMSC in Course Details within any stipulated timeline set by CPE;
The Student’s Pass application is rejected by the Immigration and Checkpoints Authority (ICA).

(d) IMSC will provide the Student with a cooling-off period of 7 working days after the date that the Student Contract has been signed by both parties. The Student will be refunded the highest percentage of fees already paid if the Student submits a written notice of withdrawal to IMSC within the cooling-off period, regardless of whether the Student has started the Course or not.

(e) If the Student withdraws from the Course for any reason other those stated in (a), IMSC will, within 7 working days of receiving the Student’s written notice of withdrawal, refund to the Student an amount based on the following:

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% of the amount of fees paid under Schedule B and C of the Student Contract	When Student’s written notice of withdrawal is received
80	(“Maximum Refund”) More than 28 days before the Course Commencement Date
50	Not more than 20 days, but more than 10 days, before the Course Commencement Date
10	Not more than 10 days before the Course Commencement Date
0	On or after the Course Commencement Date

Fee Protection Scheme

(f) The Fee Protection Scheme (FPS) serves to protect students’ fees in the event a PEI is unable to continue operating due to insolvency, and/or regulatory closure.

(g) The Fee Protection Scheme also protects students if the private education institution fails to pay penalties or return fees to the students arising from judgement made against it by the Singapore courts.

(h) The FPS is applicable to ALL students (regardless of nationality and the type of passes, i.e. dependent's pass, student's pass, work permit etc).

(i) IMSC has appointed Lonpac Insurance Bhd to be the FPS provider for all students.

(j) More details of the FPS can also be found in the FPS Instruction Manual, available at CPE's website (www.ssg.gov.sg/cpe/pei.html).

Medical Insurance

(k) It is compulsory for ALL international students to purchase IMSC’s Group Medical Insurance plan which provides coverage for hospitalisation, outpatient and related medical treatment for the entire course duration.

(l) Singaporeans, Permanent Residents and non-Student Pass holders are exempted if they are covered by their own medical insurance plan.

(m) Students who choose to opt out of the medical insurance are to show proof that they have their own medical insurance. Please speak to the programme consultant in order to make informed choices.

Advisory Note

The PE Act also requires a student to sign an Advisory Note prior to enrolling to the chosen PEI. The advisory note will be signed and returned together with the PEI-Student Contract.

Section K: IMSC Bank Account Details

Account Name	International Management and Sports College Pte Ltd
Bank Name	Overseas-Chinese Banking Corporation Limited
Account Number	508-707-999-001
Bank Code	7339
Branch Code	508
SWIFT Code	OCBCSGSG
BIC Code	OCBCSGSGXXX

IMSC Course Application Form – International Students

Registration Form

Section A

Programme Details (all fields are mandatory)