INTERNATIONAL QUALIFYING SCHEME - IQS STUDENTSHIP RENEWAL FORM 1. PERSONAL DETAILS Full name Student Registration No. (Please underline Surname) NRIC/Fin Mobile Email (Personal) Tel (Office) Email (Office) Tel (Home) Mailing Address Postal Code: ( ) EMPLOYMENT DETAILS : Designation : Organisation 2. Studentship Renewal I am not registering for the next SAICSA International Qualifying Scheme examinations which will be held on (______________ (month) _______ (year). I would like to remain on the student register and enclose herewith my payment of $112.35 to “SAICSA” for student renewal. My student renewal for a period of six-month period from ___________ to ____________. I understand that if I fail to renew my studentship, I will be treated as a new student in the subsequent registration. 3. Mode of Payment (Please tick) Payment Mode: □ Nets □ Cheque No.______________ Bank _____________ I declare that the information given in this form is true and accurate. I have read and will comply with all the conditions, rules and regulations stipulated by SAICSA and its representatives. _________________________ Signature of Candidate / Date FOR OFFICIAL USE: Invoice No.: Receipt No.: Note: a) Students who do not register for a following examination diet, are required to pay the prevailing student renewal fee to maintain on the student register. b) The studentship renewal fee will be waived if students register for the examination on a continual basis. SAICSA, 149 Rochor Road, #04-05 Fu Lu Shou Complex, Singapore 188425 Tel: 6334 4302 Fax: 6334 4669 Email: [email protected] Website: www.saicsa.org.sg Updated November 2014
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