Application Form - TECH Samoa

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National ID Card

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 Endodontics and Apical Microsurgery

Start: to choose

Cash price

WS$17,340

Installment price

WS$8,110 of tuition + 5 fees of WS$2,440

Total amount

Initial payment

Installment fees