Application Form - TECH Netherlands

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 Telemedicine

Start: to choose

Cash price

€6.580

Installment price

€3.080 of tuition + 5 fees of €920

Total amount

Initial payment

Installment fees