Registration Form - Econometrics

Candidates will be selected based on their application form, which will be examined by the program's academic coordinator on a first-come, first-served basis. To ensure that the program is of a high quality, a limited number of candidates will be accepted.

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.

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