SE-SO-302E-0

CONDUCT OPERATION BRIEFING &

DEBRIEFING

<LEARNER’S PROFILE>
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<Course Title>
<Learner’s Profile >

Course Title :

Commencement
:
Date

Name : NRIC :

Date of Birth
Nationality : Race: :
(dd/mm/yyyy)

Address :

Tel : (Home) (Handphone)

(Office) (Fax)

Email :

Company : Designation :

Highest Qualification :

Professional Qualification :

Below $1,000 $1,500 - $1,999

Salary Range (Please tick) :
$1,000 - $1,499 $2,000 & above
Please circle where applicable
Prior Learning
Any relevant experience in this competency unit before attending the Yes / No
course
Special Needs Pregnant (for Ladies) Yes / No

Visually Handicapped Yes / No

Hearing Impaired Yes / No

Wheelchair Bound Yes / No

Special Health Condition
(e.g. Asthma, Heart Problem) Yes* / No

* If yes, please specifiy

CONFIDENTIAL
NTUC LearningHub Pte Ltd is committed to maintaining the confidentiality of the applicant’s personal information and
undertakes not to divulge any of the applicant’s personal information to any third party without the prior written consent of
the applicant.

Copyright © 2009 NTUC LearningHub Pte Ltd. All rights reserved 1

LHUB_BU_Course Title_v1.0