Wednesday, 19 November, 2008

APPLICATION FORM

MOTOVUN SUMMER SCHOOL OF HEALTH PROMOTION 2008.

PLEASE FILL IN AND SEND BY 1 JUNE 2008 AT ADDRESS:

Tea Vukušić Rukavina
“A. Štampar” School of Public Health
Medical School, University of Zagreb
Rockefellerova 4, 10000 Zagreb, Hrvatska
Tel: +385 (1) 45 90 100
Fax: +385 (1) 46 84 213
tvukusic@snz.hr

 
*surname
*name
date of birth
organization/institution
address
city
work telephone and telefax
e-mail
occupation
position held
   
Applying for the
course / workshop:
 

 
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