Application Form - TECH New Zealand

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National Identity Document

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Payment Modes and Methods

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Cash payment

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Account

Internship program Pulmonology

Start: to choose

Cash price

$13,570

Installment price

$6,350 of tuition + 5 fees of $1,910

Total amount

Initial payment

Installment fees