"
*
" indicates required fields
Full Name as per NRIC
*
Email Address
*
Phone Number
*
Service Type
*
Choose your Service Type
Move Enrolment (Change Courses/Change Class Schedule/Make Up Class)
Refund
Others
Course Title Enrolled
*
Course Start Date Enrolled
*
MM slash DD slash YYYY
Course End Date Enrolled
*
MM slash DD slash YYYY
Consultant's Name
*
Choose your Consultant's Name
Ann Loh
Irish M
Jovelyn Balili
Leslie Carsula
Marvin Costales
Melvin Tan
Stanley Lim
Jennifer Tan
Lohshenii Ravichander
Reason
*
Choose your Reason
Personal Request
Corporate Matters
Others
Details
*
How would you rate your overall experience with this request form?
*
5 (Satisfied)
4 (Neutral)
3 (Unsatisfied)
2 (Very Unsatisfied)
1 (Extremely Unsatisfied)
Name
This field is for validation purposes and should be left unchanged.
Course Enquiry for Request Form
"
*
" indicates required fields
Name
*
Email Address
*
Contact Number
*
Occupation
Experiences in IT/Tech, if any:
Course Name
*
I want to find out more about:
Course Price
Course Date & Schedule
I'd like to chat with someone
Others
Kindly provide details, if you selected "Others".
Consultant's Name
Kindly select the ITEL Representative who assisted you
Melvin Tan
Jovelyn Balili
Stanley Lim
Ann Loh
Marvin Costales
Jennifer Tan
Ian Morrison
Where did you hear of ITEL?
*
Internet Search
ITEL EDM/Email
ITEL Staff
LinkedIn
Facebook
Instagram
Others
*Note: If you chose Others, kindly provide more information in the Remarks/Comments/Questions box.
Remarks/Comments/Questions
Consent
*
*By providing your information, you acknowledge and give consent for ITEL to utilise and/or retain your personal data within the organisation. For further details, please refer to our Privacy Policy.
Newsletter Subscription
Join our mailing list and receive the latest updates on our courses, promotions and events.
Phone
This field is for validation purposes and should be left unchanged.
