Registration Form

Executive Education | Leading Change in Healthcare | UCL Global Business School for Health

APPLY

We appreciate your interest in the Executive Education offered by the Global University Hub and UCL.
PERSONAL DETAILS
Title*
First Name*
Surname*
Date of Birth*
Nationality*
HOME ADDRESS
Street and Number*
Postcode, City*
Telephone*
Mobile phone*
The phone number must contain at least 10 digits.
Country*
Email*
COMPANY ADDRESS
Company
Street
Postcode, City
Telephone
Mobile Phone
Homepage
YOUR FUNCTION AND POSITION IN THE COMPANY
Department
Function/Position
How many employees does the company have?
How many employees are subordinated to you?
How many years of management experience do you have?
REGISTRATION FORM
CAREER
Company
Function
Sector
Period of time
Company
Function
Sector
Period of time
EDUCATION/STUDIES
Institution*
Education/Studies*
Period of time*
Graduation*
Institution
Education/Studies
Period of time
Graduation
HOW DID YOU HEAR ABOUT THE EXECUTIVE EDUCATION PROGRAMME OF
HOW DID YOU HEAR ABOUT THE EXECUTIVE EDUCATION PROGRAMME
HOW DID YOU HEAR ABOUT THE EXECUTIVE EDUCATION PROGRAMME O
DECLARATION
To the best of my knowledge. the information given on this form is accurate and complete. course. I give my consent to the processing of my data by Metropolitan College and UCL in line with Law 2472/1997 (Greece) and the Data Protection Act 1998 (UK).
Proof of Registration Fees Payment*
Please, upload the proof of registration fees payment.
Metropolitan College's bank accounts

EUROBANK
ΛΟΓ/ΣΜΟΣ: 0026-0254-92-0200149239
ΙΒΑΝ: GR2602602540000920200149239

ΕΘΝΙΚΗ
ΛΟΓ/ΣΜΟΣ: 720/470113-57
ΙΒΑΝ: GR7301107200000072047011357

ΠΕΙΡΑΙΩΣ
ΛΟΓ/ΣΜΟΣ: 5044-024561-246
ΙΒΑΝ: GR9401720440005044024561246
Comments
STATEMENT BY THE APPLICANT
Statement*
- By checking “I agree”, you certify that all information included in this application is true and accurate. You also agree to abide by the College’s policies, rules and regulations. By checking the above box, you certify that you have read and fully understood the above statement.

Registration Form

REGISTRATION FORM

Metropolitan College's bank accounts

STATEMENT BY THE APPLICANT