Registration Form - Counselling and Care Centre | CCC | Counselling and Care Centre

Please Note:

Programme selections for your selected conference dates (particularly for pre-conference master workshops, where participants can select TWO out of nine available workshops [1 in the morning and 1 in the afternoon]) will be collected separately through a dedicated form that will be distributed a few months prior to the conference.
Indicate "N/A" for any questions that do not apply to you.
Do not refresh or navigate back during the process. Doing so will result in the loss of all entered data. If this happens, please restart the form from the beginning.

Are you residing in Singapore currently?*

Note: This page is ONLY for participants residing in Singapore who are active Staff of an NCSS-member Social Service Agency and/or an MSF-funded agency that is utilising PCG for your ICPR7 participation. Do take note that PCG is not guaranteed and is subject to the funding body’s approval and maximum number of grant applications allowed.

Participant Personal Info:

Prefix *

Full Name *

FULL NRIC Number*

Date of Birth*

Nationality *

Email*

Phone Number*

Profession *

Highest level of education completed*

Dietary Preference*

Agency Info:

Name of Agency*

Agency’s UEN Number*

Your Designation at the Agency*

Billing Info:

Banking Code*

Billing Contact Name*

Billing Department*

Billing Email Address*

Billing Mailing Address*

Billing Contact Number*

Conference Programme Selection: *

I’d like to be a Volunteer Moderator

Terms & Conditions

Registration, Refunds, and Cancellation Policy

Registrations will be confirmed upon receipt of a duly completed registration form. Confirmation of registration will be sent to you within 3 working days.
There is strictly no cancellations or refunding of fees if the participant is not able to attend the event after confirmation of registration.
A substitute is welcome at no additional charge. This is subject to the Organisers being informed in writing at least 5 working days in advance of the event.For medical leave or emergencies, you may write in to inform of a substitute within the first day of the event. Please attach medical certificates or other supporting documents to your request.

Disclaimer

The Organisers reserve the right to cancel or postpone the event, change its programme or venue or any other details published. In case of cancellation by the Organisers, participants’ fees will be fully refunded.

Personal Data Protection Policy

I fully consent to receive messages and materials from the Organizers, via telephone, electronic mail or any other form of communication regarding ICPR7 and all ICPR-related events in future.
I further consent to the collection, use, and disclosure of my personal data collected by the Organisers for the above-mentioned purposes and for purposes related to my registration.

I have read, understood, and agree to the Registration, Refunds and Cancellation Policy, Disclaimer, and the Personal Data Protection Policy.

Payment & Submission

Conference Dates & Fees Summary

Selected Conference:

Total Price: $0

GST (9%): $0

Net Total: $0

I confirm that the summary of my conference days selection and the corresponding fees are accurate.

Invoice will be sent to you and/or your Agency’s billing department separately.

Do take note that PCG is not guaranteed and is subject to approval. As such, should your PCG application not be successful, full fees for your programme selections will be applicable.

If you understand and agree with the above-mentioned, please proceed to Submit your registration below.

Cat 1 Participants: From Cambodia, China, India, Indonesia, Laos, Malaysia, Myanmar, Philippines, South Africa, Thailand, Vietnam, and other countries.
Cat 2 Participants: From Australia, Brunei, Hong Kong, Japan, Macau, New Zealand, Singapore, South Korea, Taiwan, UK, USA, and other countries.

Select Participant Type*

Participant Personal Info

Country *