Application form - Professional further training | Általános Orvostudományi Kar

Application form - Professional further training

Application data

What training are you applying for?

Applicant's personal data

Prefix

Name

Birth name

Place of birth

Date of birth

Mother’s maiden name

Citizenship

Tax ID

TAJ card (health insurance card) number

ID card number

Address of notification

Phone number

E-mail address

Qualification data

The qualification in the diploma/degree

Type of qualification

Name of the issuing institution

Number of the diploma

Qualification of the diploma

Date of issue of the diploma

Parallel to filling in the online registration sheet, we would like to ask you to send us your diploma per email to the officer of the postgraduate specialist training course (Ms. Viktória Rubos-Varga, officer, vvarga@med.unideb.hu).

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