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Registration for the "Being a leader" Workshop

General information
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Name
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Surname
Contact Address
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Street & number

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Zip code
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City
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Country
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E-mail
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Telephone number
Institutional status / sector
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Please indicate your current status :

*If neither category applies to you, please contact patim-admin@unige.ch.

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Academic / Clinical position :

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External position :

 

External position: please specify your title and position
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Affiliation (UNIGE, HUG, ...) :
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Department :
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Professional address :
Registration
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Payment method
 
Credit card : Payment with MasterCard or Visa, thank you!
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DATA PROTECTION AND TERMS

Registration will be considered valid upon receipt of full payment.

Withdrawal and refund conditions are governed by the University of Geneva's continuing education regulations.

Personal data collected through this form will be processed in accordance with applicable Swiss data protection legislation and Universiy of Geneva policies.