Hair Academy

ENROLMENT FORM 报名表格

Enrolment Date :
报名日期:

Full Birth Name (Ms/Mr) :
姓名 (先生/女士) :

Other Name :
副名 :

IC or Passport No. :
身份证或护照号码 :

Nationality :
国籍 :

Date of Birth :
出生日期:

Age 年龄: Race 种族 :

Address :
地址 :

Telephone:
电话 :

H/p 手机 :

Email:
电邮 :

In an emergency, contact :
紧急事故, 通知人:

1(一) Tel 电话 :

2(二) Tel 电话 :

Years of experience in salon : 美发院工作经验 :

Job Title 职位 :

Last 2 Company Names :
前服务公司 :

Academy COURSE name :
课程 :

Start date 开课日期 :

Language preferred :
沟通语言 :

Full Payment :
付款挤满 :

or Installment ( Add 5%) 份期付款(加5%)

5% Reg. Deposit :
5%登记押金 :

Cash 现金

Chq No 支票 Expiry Date 截止日期

Cr. Card :
信用卡付款 :

Visa Expiry Date 截止日期

Master Expiry Date 截止日期

Parent/ Guardian:
家长姓名 :

Contact No 联络号码 :

Note : A hairdryer & a set of Starter Kit will be given to students enrolled for Full Courses PDC & FDC.
All deposits collected are non refundable.

注意: 所有新生(专业美发全科文凭课程)免费获得美发用具
所有已付报名押抵金一律不能退回.

ACCESSIBLE BY: KTM to Serdang Metro Bus No. 8, 22 Intra Kota Bus No. 133

REGISTRATION and PAYMENT
•	Upon registraion, 5% of total course fee will be collected. Balance of payment must be made before 1st class commences
•	5% of the course fee will be levied for 2-Installments payment, to be paid on 1st day of first 2 months.
•	Cheque to be made payable to : Clipso Hair Art Salon Sdn. Bhd.
	At : Lot 1.35 E & F, 1st Floor, Podium Block, Plaza Berjaya, 12, Jalan Imbi 55100, Kuala Lumpur, Malaysia Tel: 603-2141-9616 Fax: 603-8076-5212

•	Foreign students must remit FULL PAYMENT to :
	Clipso Hair Art Salon Sdn.Bhd. Account No. : 12015-001-0064-721 Alliance Bank Malaysia Berhad, Wisma Projass No. 3, Jalan SS 15/2A 47500 Subang Jaya Selangor Darul Ehsan, Malaysia.

	After remitting the non-refundable registration fee, please fax or mail a copy of the bankers' advice to the Academy. We will then mail to you a *Letter of Offer from the Academy* to help you with immigration arrangement.