Enrolmentform Educational Center for Classical Homeopathy

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Enrolment procedure:
1) Please fill in this form to enroll for the international homeopathy course
2) Transfer € 100 (enrolment costs) on bank account NL42 TRIO 0254 7618 28 of OCKH, with the subject "Enrolment ECCH + last name".
2) You will receive an invoice for the tuition fee and a study agreement. The enrolment costs will be deducted from the tuition fee.

Personal information

First name *

Surname *

Streetname & number *

Zipcode *

Place of residence *

Please write down the name of the town, city that you live in.

Phonenumber *

Email *

Please make sure you verify the emailaddress

Date of birth *

YYYY

Place of birth *

Previous education

Education *

What is your main education (partial and/or fully finalized)? Can you describe this briefly?

Level *

Please confirm that you have finalized a higher general secondary education.

Yes, I have finalized a higher general secondary education.

Required

Motivation *

Please explain brtiefly why you would like to study homeopathy?

Study load *

How many hours per week can you spend on the course?

Expectation *

Can you please explain what you expect from the course and the start of your own practice?

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