International week, November 2014
Please fill in the online application and send the scanned version of your mobility agreement to Ms Eve Epner, the Head of International Relations of the Tallinn Health Care College (eve.epner@ttk.ee) latest by 25 October 2014.
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PERSONAL DATA
Name *
Surname *
ID-code or birthday *
Title *
Scientific degree *
If you do not have a degree, please write "no degree"
CONTACT INFORMATION
E-mail address *
Phone (incl. country calling code) *
PROFESSIONAL INFORMATION
Name of your home institution *
Address of your home institution *
Your position at the home institution *
Your faculty or unit at the home institution *
ARRIVAL AND DEPARTURE
Date of arrival *
MM
/
DD
/
YYYY
Date of departure *
MM
/
DD
/
YYYY
PARTICIPATION DETAILS
Coming in the frames of: *
Coming in the frames of: *
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