Application Form - TECH Cameroon

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National Identity Document

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Payment Modes and Methods

Select the payment method

Cash payment

Split payment

Deadlines

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Credit card

Account

Internship program Pulmonology

Start: to choose

Cash price

FCFA4,053,140

Installment price

FCFA1,895,030 of tuition + 5 fees of FCFA569,520

Total amount

Initial payment

Installment fees