Registration

16 - 18 November 2023

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:*

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/private sector) - € 1.950,00

Course fee (commercial/private sector) - early registration until 05.09.2023 - € 1.550,00

Course fee (academic/ public) - € 1.150,00

Course fee (academic/ public) - early registration until 05.09.2023 - € 850,00

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

I accept the UMIT TIROL Academy standard business condition (https://umit.at/page.cfm?vpath=studien/academy)*

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