First name（名）*
Last name（姓）*
Gender（性別）* —以下から選択してください—男性女性その他
Date of birth（生年月日）*
Phone（電話番号）
Email*
Nationality（国籍）* —以下から選択してください—SingaporeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao, People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
Type of Pass（お持ちのビザの種類）* —以下から選択してください—SingaporeanSingapore PRDependent's PassWork PassStudent's PassLong-term Visit PassShort-term Visit PassDiplomatic PassImmigration Exemption OrderN.A. (Not studying in Singapore)
Passport No./FIN/IC No.（パスポートNo./FIN/IC No.）*
Highest academic qualification（最終学歴）* —以下から選択してください—No Formal QualificationPre-PrimaryLower PrimaryPrimary PSLEPrimary PSLE EquivalentLower SecondaryLower Secondary EquivalentN Level or EquivalentO Level or EquivalentITE Skills Certification (ISC)A Level or EquivalentNitec/Post NitecHigher NitecMaster NitecWSQ CertificateWSQ Higher CertificateWSQ Advance CertificateOther Post-Secondary QualificationsOther Post-Secondary CertificatesPolytechnic DiplomaITE DiplomaDiploma (PEI)Diploma (Overseas)Others (Professional Qualifications)WSQ DiplomaWSQ Specialist DiplomaUniversity First DegreeUniversity First Degree (Overseas - Studied on Campus)University First Degree (through EDP/Distance Learning)University Postgraduate DiplomaUniversity Postgraduate Master DegreeUniversity Postgraduate Doctorate DegreeWSQ Graduate CertificateWSQ Graduate Diploma
Address（住所）*
Tell us more about what you would like to learn（学びたいことを具体的に記載）
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