PERSONAL DETAILS
Full Name
Office Address City State Country Pin code Address for communication City State Country Pin code
Phone Area Code Mobile Number Passport No/IC No Highest Qualification Phone No Email Date of birth Gender Male Female

EDUCATION DETAILS
	Name of the Degree	College/ School	Board / University	Year of Study		Major Subject	%	Division
				From	To
A Level /12th
Degree
Post Graduate

PROFESSIONAL COURSES
	Name of the Degree	College/ School	Board / University	Year of Study		Major Subject	%	Division
				From	To
Course 1
Course 2
Course 3
Course 4
Course 5

WORK EXPERIENCE
	Organization	Title	From	To	Duration No. of Months	Remarks
Current job

Type of Current Job:

Briefly describe the responsibilities associated with your present job

Date:
Place:

Payment Details only for office use only.

Confidentiality of student data
Image International (S) Pte Ltd is committed to maintaining the confidentiality of the Students’ personal information and undertakes not to divulge any of the Student’s personal information to any third party without the prior written consent of the Student. Student’s particulars are solely for the purposes of completing course submission. When IMAGE wishes to use students’ particulars for purposes other than internal marketing and billing, it makes this known to the student before obtaining their particulars and obtains the consent of the student

Admission test to be taken : XLRI Admission Test [XAT] Important Dates* : XAT in Singapore: April 21, 2008 & May 15, 2008 Interview Dates: May 2-4, 2008 & May 30-31,2008

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