Enrolmentform Educational Center for Classical Homeopathy
Please fill in this form to enroll for the international homeopathy course
Personal information
First name *
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Surname *
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Streetname & number *
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Zipcode *
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Place of residence *
Please write down the name of the town, city that you live in.
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Phonenumber *
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Email *
Please make sure you verify the emailaddress
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Date of birth *
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Place of birth *
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IBAN number bankaccount *
Please fill in and verify the correct IBAN number of your bank account
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Previous education
Education *
What is your main education (partial and/or fully finalized)? Can you describe this briefly?
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Level *
Please confirm that you have finalized a higher general secondary education.
Required
Motivation *
Please explain brtiefly why you would like to study homeopathy?
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Study load *
How many hours per week can you spend on the course?
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Expectation *
Can you please explain what you expect from the course and the start of your own practice?
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Location *
Please confirm in which town/country you would like to attend the classes.
Enrollment *
Please confirm if the enrolment is definite or preliminary.
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