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

Postgraduate diploma Pediatric Neuro-Ophthalmology and Comprehensive Approach to the Anterior Segment

Start: 10/11/2025

Cash price

71.430 Kč

Installment price

33.350 Kč of tuition + 5 fees of 10.040 Kč

Total amount

Initial payment

Installment fees