Application Form - TECH Samoa

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National ID Card

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Payment Modes and Methods

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Cash payment

Split payment

Deadlines

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Credit card

Account

Postgraduate certificate Periodontics and Laser

Start: 14/04/2025

Cash price

WS$2,760

Installment price

WS$1,280 of tuition + 2 fees of WS$970

Total amount

Initial payment

Installment fees