Application to course modules at Centre for International Health (CIH) spring 2023

You have applied for course modules at the CIH, University of Bergen. Before we process your application we need some additional information , please fill this in the boxes below.

Name Name First Last
Email
Your home institution
Contact person at home institution
E-mail contact person
If on campus course;
date of arrival: If on campus course;
date of arrival: / MM / DD YYYY
Date of departure: Date of departure: / MM / DD YYYY