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Binding application form for the Fresher's Week 2011 (26.9. - 1.10.)
Please apply before the 18.9.2011
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Surname
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Your answer
Name
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Your answer
E-mail address
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Your answer
ACTIVITIES CHOSEN
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Please select the activities that you would like to participate in
Fresher’s Week activities and White Coat Ceremony (white coat and Czech book included) (1500 CZK)
White Coat Ceremony only (White coat included) (800 CZK)
Fresher's Week activities only (Czech book included) (700 CZK)
Required
To attend the White Coat Ceremony and/or the Celebration Buffet, please indicate the following
The University Coat
The coats can be seen at
http://online.lf2.cuni.cz/eshop/index_en.php?shop=plaste
Choose
Female coat - XS
Female coat - S
Female coat - M
Female coat - L
Female coat - XXL
Male coat - S
Male coat - M
Male coat - XL
Male coat - XXL
Your height
Please indicate your height in centimeters (cm)
Your answer
Number of guests attending the ceremony (excluding yourself)
e.g. your mum and grandma comes to see you --> 2 guests
Your answer
Total number of people attending the buffet
e.g. your mum and grandma joins you for the dinner --> 3 people. NOTE! The price is 660 CZK/person and includes a three course luxuary buffet and two drinks - not included in the Fresher's Week fee
Your answer
A final note...
The Fresher's Week fee and the Dinner fee will both be paid to Mgr. Petra Fabingerová, your future teacher in Czech language at the first day of the Fresher's Week (26.9.2011)
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