Application for Admission to the University Continuing Education Program »Mass Spectrometry in Food Safety«

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Application for Admission to University Continuing Education Program

I herewith apply for admission to the University Continuing Education Program »Mass Spectrometry in Food Safety« *

Note: all fields marked with an asterisk (*) are required for the further processing of your application and must not be left blank.

Personal Data

Salutation *

Please enter the desired form of address if you have selected the "Other" option.

Family Name *

First Name *

Date of birth *

Academic Degree

Gender *

Nationality *

Austrian Social Security No. (full number, without blank spaces)

Austrian Matriculation No.

Contact Data

E-Mail Adress *

Phone

Personal Adress

Street + House No. *

Postal Code *

City *

Country *

Invoice Address (if applicable)

Organisation / Company

UID-/VAT-No. (mandatory in case of billing to a company)

Street + House No

Postal Code

City

Country *

Prior Qualification

Academic Training:

Degree & Name of Study Program *

Place of Study (country) *

Academic Institution *

Current Professional Occupation

Organisation / Company

Position

Optional Indication:

I have learned about this program/course

Declarations of Consent and Information

The relevant terms and conditions apply. I have read these and do accept them as the contractual basis for my participation. *

I have taken note of the data protection policy of BOKU regarding the use of personal data. *

I confirm the correctness of all submitted data and documents and hereby apply for admission to the program. *

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