Registration Form - Webinar: Implication of COVID-19 to the Society, Ecology and Environment

Your email address *

Your last name *

Your first name *

Your gender *

Female Male Prefer not to say Other

Your country *

Your institution

Which of the following describe you the best?

Center for International Health (CIH) Alumni Staff/faculty from CIH Cooperation Partner Institution CIH faculty/Current Students Potential applicants for CIH programs I have no CIH affiliation but heard about them I have no CIH affiliation and did never hear about them Other

How did you hear about this webinar/event?

Friends/Colleagues CIH facebook / CIH Website Email from One Health Knowledge-Café Email Circulation from my Institution Notice board Other

Please note:

I would like to subscribe to the CIH monthly newsletter to receive information on future CIH events and activities (to the above-mentioned address).

Submit