Application Form - TECH United States

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National Identity Document

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Payment Modes and Methods

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Cash payment

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Account

Postgraduate certificate Physician Assistance/ Consultation and Surgery

Start: 06/27/2025

Cash price

$955

Installment price

$446 of tuition + 2 fees of $336

Total amount

Initial payment

Installment fees