Application Form

Implement Lean Six Sigma
This training provides participants how to approach, understand and apply the lean
transformation process systematically. It is designed to equip participants with the board
knowledge and tools to map the transformation for a system wide approach for developing and
implementing lean six sigma project plans.
Key Topics
Who Should Attend?
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Define five principles of lean
Understand the lean culture and six sigma tools
Value stream mapping tool
Improve process stability and efficiencies
Understand the just-in-time methodology
Review lean measurement tools
Implement lean design, analyze failures and
ensure ongoing quality and continuous
improvement
 What are the eight types of waste and how to
correct them
New and experienced
executives, professional or
managers with functional or
operational responsibilities
Facilitator Profile
LEE Chun Kit, Bsc (Hons) in Master Adult Education, MOM Approved Risk Consultant,
MOM Approved WSH Auditor, WSHO, ECO, FSM, Certified Six Sigma Black Belt, ACTA,
has more than 20 years of training experience in Safety and Productivity. He has
implemented Safety Management Program for various companies. He has also presented
a paper on “How Singapore Implement Risk Management” during the Asian Safety
Professional Forum 2012 in Kuala Lumpur.
The course will be held at Learners Hub, 605A Macpherson Road Citimac Industrial
Complex #05-04 Singapore 368240
Course Registration Form
1.
Course Information
Course Title: Implement Lean Six Sigma
Course Fee: $1000.000
Course Dates for
2017 Day Classes (9:00am to 6:00pm):
 03, 04, 05, & 06 Jan 2017 (Tue–Fri)
 06, 07, 08 & 09 Mar 2017 (Mon–Thu)
 04, 05, 06 & 07 Apr 2017 (Tue–Fri)
 05, 06, 07 & 08 Jun 2017 (Mon–Thu)
 01, 02, 03 & 04 Aug 2017 (Tue–Fri)
 03, 04, 05 & 06 Oct 2017 (Tue–Fri)
 05, 06, 07 & 08 Dec 2017 (Tue–Fri)
 13, 14, 15 & 16 Feb 2017 (Mon–Thu)
 28, 29, 30 & 31 Mar 2017 (Tue–Fri)
 02, 03, 04 & 05 May 2017 (Tue–Fri)
 04, 05, 06 & 07 Jul 2017 (Tue–Fri)
 05, 06, 07 & 08 Sep 2017 (Tue–Fri)
 06, 07, 08 & 09 Nov 2017 (Mon–Thu)
2017 Night Classes (6:00pm to 10:00pm):
 07, 08, 09, 10, 14, 15, 16 & 17 Feb (Tue–Fri)
 20, 21, 22, 23, 27, 28, 29 & 30 Jun (Tue – Fri)
 03, 04, 05, 06, 10, 11, 12 & 13 Oct (Tue – Fri)
 03, 04, 05, 06, 10, 11, 12 & 13 Apr (Mon – Thu)
 14, 15, 16, 17, 21, 22, 23 & 24 Aug (Mon – Thu)
 05, 06, 07, 08, 12, 13, 14 & 15 Dec (Tue – Fri)
2017 Weekend Classes (9:00am to 6:00pm):
 07, 14, 21 Jan & 4 Feb (Sat)
 11, 18, 25 Mar & 01 Apr (Sat)
 06, 13, 20 & 27 May (Sat)
 01, 08, 15 & 22 Jul (Sat)
 09, 16, 23 & 30 Sep (Sat)
 04, 11, 18 & 25 Nov (Sat)
How did you know about this course:
 TV
 Website
2.
 Facebook
 Roadshows
 Newspaper
 Magazine
Types of Financing for the Course
 Self-Financed
3.
 Friends/Relatives
 Others: ______________________
 Company-Sponsored
Applicant’s Particulars (delete / tick where applicable)
Name (as per NRIC / Passport)
Race:
NRIC / FIN / Passport No.:
Nationality:  Singaporean
 Others, please specify:
Date of Birth (DD-MMM-YYYY):
Age:
 SPR
Gender:  Male  Female
Home Address:
Home Tel.:
Email Address:
Mobile No.:
Employment Status:
 Employed
 Unemployed
 Freelancer
If employed, please state designation in company: _________________________________
Salary Range:  < $1,000  $1,001 - $1,499  $1,500 - $1,999
 $3,000 - $3,499  $3,500 and above
4.
 $2,000 - $2,499  $2,500 - $2,999
Education Background
Highest Qualification Attained
Awarding Institution
Period of Study
From (MMM-YYYY)
5.
Employment / Company Details (if company-sponsored)
To (MMM-YYYY)
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Contact Person:
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Type of Company:
 SME
 Government
 MNC
 Others
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6.
Billing Details
 Same as Company Details
 Same as Personal Details
Registered Company Name to be Billed:
Billing Address:
Invoice Attention to:
Department:
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Contact Number:
7.
Preferred Payment Mode
 Cash
1
2
 Cheque
1
 Bank Transfer
2
 Paypal
For Cheque Payment, please make to: LEARNERS HUB PTE LTD and mail to:
605A Macpherson Road Citimac Industrial Complex #05-04 S(368240)
For Bank Transfer, please transfer to: OCBC Current Account 5340 4280 9001
8.
Applicant’s Declaration
1.
I declare that all the information contained in this Registration Form is true and correct and given of my own free will. I
expressly authorize Learners Hub Pte Ltd to provide any information disclosed in this Registration Form to the Singapore
Workforce Development Agency (“WDA”) and/or any party for any purpose in connection with the WSQ courses, subsidy
schemes and for any other training courses or programmes. I acknowledge and agree that if I am found to have deliberately
provided any false information in this Registration Form or the supporting documents at any time, Learners Hub Pte Ltd may
terminate my enrolment in any course forthwith without any refund of Course fees already paid and/or shall be entitled to
claim against me for the portion of the Course attended by me up to that point.
I understand and agree that Learners Hub Pte Ltd can use my particulars above to contact me for any purpose in connection
with the course I have applied for.
I understand that in the event I withdraw from the Course and give less than 7 days’ notice before Course commencement
date or on or after Course commencement date, I shall not be eligible for any refund of Course fees already paid.
I agree to participate in any survey administered by Learners Hub Pte Ltd on behalf of WDA and/or any party for any purpose
in connection with the training courses.
I confirm that I have read, understood and agree that I accept and shall be bound by the Terms and Conditions as set out in
this Registration Form.
2.
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5.
Your personal data submitted under this form may be used to send you notices, information, promotions and updates including
marketing and advertising materials in relation to goods and services of Learners Hub Pte Ltd and its business partners, and for
research and analysis.
 Please tick here if you agree to our use of your personal data for the above purposes.
Name of Applicant
Signature
Please email completed application form to [email protected] for registration.
For enquiries, feel free to call us at Tel: 6842 1006.
Date