Singapore University of Technology and Design: SUTD Academy

You are registering for Introduction to Data Science (Healthcare)

Course Date: 20 Oct 2023 (Friday)
Duration: 9am - 5pm

This should take about 3-4 minutes. You will receive an email acknowledgement upon successful registration.

Section A: Participant Details Please complete all fields in this section.
NRIC No.:
Date of Birth (dd/mm/yyyy):	E.g. 21 Jan 1990 = 21/01/1990
Full Name as in NRIC:
Email Address:	We will communicate with you using this email address.
Contact Number:	No spacing, please. We will contact you at this number if need be.
Citizenship:
Race:
Country of Origin:
Gender:	Female Male
Highest Education Attained:
Job Designation:
Residential Address Line 1 (Building Number, Street Name):	Building Number, Street Name
Residential Address Line 2 (Floor Number - Unit Number, if any):	E.g.: #03-70 (Put "NA" if Not Applicable)
Postal Code:
Dietary Preference:
Please specify special dietary requirement, if any:
Subscribe to our mailing list:	Yes No

Section B : Complete this section only if you chose "Company-sponsored". You may leave the fields blank if you chose "Self-sponsored".
Type of Sponsorship:		Company Sponsored Self Sponsored
Organisation / Institution:
Employee Number:
Name of HR Point-of-Contact:
Email of HR Point-of-Contact:
Organisation Address (Building No, Street Name):
Organisation Address (Floor Number - Unit Number):
Organisation Address (Building Name):
Organisation Address (Postal Code):

Please provide details if the billing organisation is different from the host organisation
Name of Point-of-Contact (from billing organisation):
Email of Point-of-Contact (from billing organisation):
Billing Address (Building no, Street Name):
Billing Address (Floor Number - Unit Number):
Billing Address (Building Name):
Billing Address (Postal Code):

For company sponsored participants, please contact your institution’s HR training department for more details on course registration process and further queries.

By clicking the "Submit" button, I hereby consent to the collection and use of my personal information as collected on the form by Singapore University of Technology and Design (SUTD), including the disclosure to SUTD trusted third parties. The personal information collected will be used for the purposes of communicating relevant news about SUTD and invitations to future events. I may choose, at any point, to unsubscribe from any of the above correspondence by an email to dpo@sutd.edu.sg

You are registering for Introduction to Data Science (Healthcare)

Section A: Participant Details

Section B : Complete this section only if you chose "Company-sponsored". You may leave the fields blank if you chose "Self-sponsored".

Section B : Complete this section only if you chose "Company-sponsored".
You may leave the fields blank if you chose "Self-sponsored".