Application Form - TECH Czech Republic

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National Identity Document

I have read and accept the Privacy Policies

Proceed to secure payment

Payment Modes and Methods

Select the payment method

Cash payment

Split payment

Deadlines

Select the payment mode After selecting the payment method, you will be redirected to the selected payment gateway

Credit card

Account

Internship program Advances in Tropical Diseases

Start: to choose

Cash price

151.020 Kč

Installment price

70.610 Kč of tuition + 5 fees of 21.220 Kč

Total amount

Initial payment

Installment fees