Singapore University of Technology and Design: SUTD Academy

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:

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 Name:
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):

Section C: Individual Modules
Fundamentals in Python (Basic):		Fundamentals in Python (Intermediate):
Foundation of Data Science:		Data Storytelling with Visualisation:
Relational Database Management Systems:		Data Wrangling and Preparation with Programming:
Data Validation and Statistical Analysis with Programming:		Data Science Modelling with Programming:

Subscribe to our mailing list:		YesNo

Registration

Section A: Participant Details Please complete all fields in this section.

NRIC No.:
ID Type:
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: