Registration Form - Business ethics and compliance management

Pease fill in the registration form and send a copy of your curriculum vitae at business-ethics@uclouvain.be.

Registration by module is allowed for modules 1 to 4 (1.250€ per module, VAT is included for individuals, VAT excl. for companies).
Following the 6 modules and passing the evaluation successfully will lead to the certificate in Business ethics and compliance management.
Modules 5 and 6 will be only accessible for people who followed the four first modules.

Type of registration *

complete certificate

one or more module(s)

Regitration (billing adress) *

Private

Business

Title *

Miss

Last name *

First name *

Nationality *

National registration number *

Date of birth *

Day

Month

Année

Place of birth *

PERSONAL DATA

Private adress *

Pays *

Adresse *

Complément d'adresse

Ville *

Pays *

ZIP code *

Telephone

Mobile phone number

Fax number

Email *

BILLING INFORMATION

For a private registration, you don't need to fill in the business contact data

Company/Institution name

Unique company number

Business adress

Pays

Adresse *

Complément d'adresse

Ville *

Pays *

ZIP code *

Telephone number

Mobile phone number

Fax number

ADDITIONAL INFORMATION

Job title *

Company/Institution name

Degree/University/Duration in years

Year of graduation

Additional training

Professional experience

How did you hear about this program ?

By registering to the program through this online application form; after having read the admission and financial requirements and upon acceptance of my application by the academic coordinators, I agree to pay the tuition fees.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Quel est le code dans l'image ? *