Application Form - TECH Liberia

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National ID Card

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Payment Modes and Methods

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Cash payment

Split payment

Deadlines

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Credit card

Account

Internship program Telemedicine

Start: to choose

Cash price

L$1,365,200

Installment price

L$673,700 of tuition + 5 fees of L$202,400

Total amount

Initial payment

Installment fees