Application Form - TECH Liberia

Enrollment form

Name

Surname 1

Surname 2

E-mail

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Payment Modes and Methods

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Cash payment

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Account

Internship program Neonatology

Start: to choose

Cash price

L$1,423,940

Installment price

L$665,840 of tuition + 5 fees of L$200,030

Total amount

Initial payment

Installment fees