Registration Form - HSM 2023

1. Personal Data

Name(s) (surname/last name) *

First name(s) (given name) *

Date of birth (dd/mm/yyyy) *

Nationality *

E-mail adress: *

Please note that this address may be used for the mailing of important documents.

2. Education

Title and degree of your academic education: *

Name and address of your academic institution or employer if no longer a student (If none, please indicate "none"): *

Please include proof of your academic qualification by adding either a scan of your final degree certificate or proof of enrolment from your current academic institution.

Please attach a scan of your final degree certificate or proof of enrolment from your current academic institution

3. tropEd Students

Please indicate your tropEd home institution and enclose proof of enrolment from your tropEd institution:

Please attach a proof of enrolment from tropEd institution

4. English Language Proficiency

Please indicate your English language proficiency *

Other, please specify:

Attach a copy of your English language proof

Please note that for participants from a country, where English is the official language, a copy of a valid passport is sufficient.

5. Regulations

The course fee(s) as indicated above apply. The CIH Program Coordination Office will contact you with further information regarding payment procedures. Registration is only complete following the payment of the course fee(s) in full. The following cancellation policy applies: A non-refundable fee of € 100 will be charged in cases of cancellation prior to the registration deadline. After this point of time, a non-refundable fee of 50% of the total course fee is due in case of cancellation two weeks prior to the course start. The full fee will be charged in cases of no-show or cancellations from the beginning of the course.
Attendance of the entire module is a pre-requisite for the award of ECTS credits. Course participants will need to arrive prior to the beginning of the course. A missed first day cannot be made up otherwise and will lead to exclusion from the module without the possibility of a course fee refund (no-show).
All CIH Advanced Modules include mandatory pre-reading assignments. An assessment by a course instructor that reading material has not been read (e.g. instructions on basic laboratory safety) may lead to immediate exclusion from the module without the possibility of a course fee refund. Pre-reading assignments are delivered at least two weeks prior to the start of the module.
Successful completion of assignments (multiple choice examinations, post-course assignments etc.) is a pre-requisite for the award of ECTS credits. Non-submissions (including post-course assignments that are handed in more than 2 weeks after the submission deadline), will be graded as fail without a re-sit option and participants are no longer eligible for ECTS credits.

6. Further Information

Please email the CIH Program Coordination Office in advance should you be unavailable for longer time periods from now until the start of your chosen module so that we are notified in case we need to contact you. Please also note that you are required to carry a portable computer (laptop) during your studies, which is needed for readings and assignments.

7. Declaration

I have understood and agree to comply with the above stated regulations (7. Regulations 1.– 4.) and I have read and understood all further information (8.). I also declare that I have answered all questions in this form correctly and to the best of my knowledge.

8. Please select

What is five times eight? *

35

40

50