WMI Certificate in Private Banking Programme Application Form

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							   WMI Certificate in Private Banking Programme
                                    Application Form
                                 (FOR FINANCIAL INSTITUTIONS)


General Instructions For Completing Your Application

Thank you for your interest in the WMI Certificate in Private Banking Programme. Please read
the following instructions carefully before completing your application. Supplementary
instructions are given in each section of the application form. Please complete the application
form accordingly and attach copies of the documents as instructed. Once you have completed
the form, we suggest you keep a copy for your record. Your registration details will be kept in
strict confidence. You are encouraged to apply early.

Application Fee
The application fee is S$85. Applications received without the application fees will not be
processed. The application fee is non-refundable. Payment for the application fee can be made
by cheque to “Wealth Management Institute Pte Ltd”.

Tuition Fee
The fee is subject to applicable GST. Upon acceptance into the Programme, applicants will
need to pay the full applicable tuition fee. The payment of the tuition fee should be made by
cheque in favour of “Wealth Management Institute Pte Ltd”. The tuition fee is non-refundable.

 Module                                Fee
 Module I                              S$4,000
 Module II                             S$6,200
 Total Programme Fee                   S$10,200

Note: Fee is indicative and subject to change

Please send the completed applications to the following address:
Wealth Management Institute Pte Ltd
60B Orchard Road
#06-18 Tower 2
The Atrium@Orchard
Singapore 238891

For more information, please contact:
Tel: (65) 6828-6988
Fax: (65) 6821-1155
E-mail: exec.devt@wmi.com.sg
Website: www.wmi.com.sg




                                                Page 1 of 6                  Updated on 07/01/2009
CHECKLIST
Application Documents

Before submitting this application, please tick the following where applicable. This checklist of
application items will assist you in ensuring that all necessary documents have been included in
your application.

       Application fee (S$85)

       Application form (including this checklist duly completed)

       Photocopy of:
       a) NRIC (for Singaporean), or
       b) Passport, re-entry permit, and/or employment pass (for Singapore permanent
       residents and/or Singapore-based foreigners)




                                           Page 2 of 6
1.   PERSONAL INFORMATION OF CANDIDATE
     Please read the instructions carefully and print clearly in BLOCK LETTERS.
     Please tick / circle where applicable.

      Name (as in NRIC or Passport):
      (Dr/Mr/Mrs/Ms)

      Address:

      Telephone No.
      Home:                            Office:                        Mobile Phone:
      E-Mail Address:                                     Date of Birth (dd/mm/yyyy):

      Gender:            M/F                              Age:

      Nationality:                                        Country of Birth:

      For Singapore citizen                               For Singapore PR
      NRIC No.:                                           UIN No.:

      For Singapore-based Foreigners
      Do you currently possess a valid work pass?        Yes                  No
      Please provide your Foreign Identification Number:


2.   COMPANY INFORMATION

      Company Name:


      Address:



3.   HIGH SCHOOL / POLYTECHNIC / COLLEGE / UNIVERSITY EDUCATION
     (Please provide in reverse chronological order)

          From            To             Name of Institution, Country              Highest qualification
         (mm/yy)        (mm/yy)                                                         achieved,
                                                                                      Major (if any)




                                            Page 3 of 6
4.   OTHER QUALIFICATIONS
     Please also include professional courses currently undertaking / being admitted to (e.g. CFA,
     ACCA).

       From          To                Professional Body             Discipline        Status
      (mm/yy)      (mm/yy)




5.   EMPLOYMENT HISTORY
     Please start with the current/most recent employment and indicate only full-time work
     experiences. Please exclude full-time national services and part-time, temporary and vacation
     jobs.

     Total number of years of working experience           years


       From       To              Organisation             Designation       Nature of Work e.g.
      (mm/yy)   (mm/yy)                                                      service assistant in
                                                                               private banking




                                           Page 4 of 6
6.   PROGRAMME REGISTRATION
     Please tick in the boxes below the module(s) for which you are applying. Participants who would
     like to attain the “WMI Certificate in Private Banking” Certificate would need to successfully
     complete both Modules I & II within the stipulated time frame. Participants who have no prior
     knowledge in wealth management, or are fresh entrants into the wealth management industry are
     strongly advised to enrol for both modules.

         ( )   Module                         Fee prior to funding   Estimated Fee after FICS funding*
               Module I                       S$4,000                S$400
               Module II                      S$6,200                S$620
               Total Programme Fee            S$10,200               S$1,020

     * Applicants may apply for funding under the FSDF Funding for Financial Industry Competency
     Standards (FICS) Training and Assessment Scheme^ which provides funding support of 90% for the course
     fees, capped at S$6,000 per participant per module. Funding is on a reimbursement basis and subject to
     eligibility criteria and terms and conditions.

     ^ Financial sector organizations sponsoring Singapore-based participants may obtain grant support from the
     Financial Sector Development Fund (FSDF) for FICS accredited training and assessment programmmes.
     Organizations should submit the funding applications online to the Institute of Banking & Finance (IBF) at
     www.ibf.org.sg. For more details on the scheme, please refer to the brochure available at our website
     www.wmi.com.sg or contact IBF at 6220-8566.

7.   DECLARATION

     o    I declare that the information provided in this application and sheets attached hereto are true
          to the best of my knowledge and belief and that I have not willfully suppressed any material
          fact. I also understand that if after the approval of the application, it is found that I have made
          a false declaration or willfully suppressed material facts, I may be required to withdraw from
          the programme, any tuition fee paid will not be refunded and monies awarded under the
          FSDF Funding for Financial Industry Competency Standards (FICS) Training and
          Assessment Scheme if any will be recovered.

     o    I understand that the offer of admission by the Wealth Management Institute and funding
          under the FSDF Funding for Financial Industry Competency Standards (FICS) Training and
          Assessment Scheme are conditional upon my satisfying all the prevailing criteria for
          admission and funding support.

     o    I understand that I have to successfully pass all assessments and fulfil full attendance
          requirement to be awarded the Certificate of Achievement/Certificate in Private Banking.

      Name of Candidate:
      (Dr/Mr/Mrs/Ms)

      Signature




      Date:        /       /


                                                  Page 5 of 6
The following are to be completed by the company:


 Name of Authorised Signatory:
 (Dr/Mr/Mrs/Ms)

 Designation:


 Authorised Signature:                                Company Stamp:




 Date:      /      /

 Contact Person:
 (Dr/Mr/Mrs/Ms)

 Designation:                                    E-Mail:


 Phone No.:                                      Fax No.:




For Official Use

   AC                                    Processed by:


                                         Signature:


                                         Date:


                                         Contact No.:




                                   Page 6 of 6

						
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