Public Health, Health Services Research and HTA

Registration

27 - 29 JAN 2025

Gender: Female Male Other

Academic Title(s):Will be used for your certificate.

Surname:*

Lastname:*

Academic Title(s):Will be used for your certificate.

Date of Birth:* Will be used for your certificate except US-citizens.

Institution / Department:

Adress:*Will be used for your certificate.

Postcode / City:*

Country:*

E-Mail:*

Phone:*

Fax:

Comments: please specify if you have any special requirements (e.g., diet, access, handicap):

UMIT TIROL student Mag GW, MPH or Dr.phil. (Please also register via Moodle)

Course fee (commercial) - € 2.950,00

Course fee (academic/ public) - € 1.450,00

I confirm that all my contact details are complete and correct and that I have read the payment details and accept the cancellation policy.*