registration – HEREDITAS

Registration Form

Please complete all required fields in the form with accurate and up-to-date information to help us process your registration efficiently and ensure timely follow-up. Before submitting, kindly review your details to confirm their accuracy. Once your submission is received, we will be in contact with you shortly.

AIA Customer
Are you an existing AIA Customer? *

Yes No
Details of attending student
Name of Student *

First

Last
Date of birth *
Passport Number *
Please provide name of the school the student is currently attending *
Does the child have any dietary restrictions? (If any, please specify) *

if none please indicate 'NIL'
Details of Accompany Adult
Number of accompanying parent *
Name of accompanying parent *

First

Last
Relationship with student *

Father Mother Others
Parent’s Passport Number *
Parent’s Contact Number *
Parent’s Email Address *
Does the parent have any dietary restrictions? (If any, please specify) *

if none please indicate 'NIL'
Package Option: *

Option A – Accommodation + Transportation from hotel + NUS programme Option B – NUS programme only Option A – The fee includes a 6-day, 5-night stay at a 5-star Singapore hotel (twin sharing for one child and one accompanying adult), a 5-day NUS education programme, airport transfers, and daily transport to and from the programme venue. Airfare and travel insurance are not included.
You will be contacted directly by Hereditas Pte Ltd after submitting the registration form for payment of programme fees.

For further enquiries on the programme, please contact AIA at sg.connectwithaiaaltitude@aia.com
I have read and agree to the Terms and Conditions.
I consent to the collection, use, and processing of my personal data in accordance with the Personal Data Protection & Privacy Policy.

AIA Customer

Details of attending student

Details of Accompany Adult