VSCR course – Pharmaceutical Assessment, Pricing and Reimbursement Policy for health care experts in the Gulf Cooperation Council (GCC) countries

Gender*

Surname*

First name*

Date of birth*

Email*

Academic Title(s)

Specialty*

Hospital / Academic Center / Institution / Company*

Position / Function*

Contact Address*

Mobile Phone*

Your setting is (please tick what describes it best)*

Further comments on your current and future professional activities/career (optional)

Have you already participated in any VSCR or SFU training?*

If yes, please specify in which one and when

Declaration - Data protection*

Yes, I accept that the personal data I have provided above will be processed for organizational and administrative purposes. I also accept that my name and address information will be communicated to fellow students, teaching staff and persons responsible for academic services. I may at any time withdraw this consent by giving notice in writing to the program director. If I join, I agree to attend the course to the dedicated time and to complete the exercises in order to gain a certificate.
Upon submission of the application form, I agree that the application form becomes binding. By submitting this form, I confirm the accuracy and completeness of my statements.

Comments

This field is for validation purposes and should be left unchanged.