Registration Form

Registration for Course

Course of Study

Date / Start

Personal Details

Title*

Last Name *

First Name *

Street / No. *

Additional Address Details

ZIP Code / City *

Country*

Place of Origin *

Date of birth (DD.MM.YYYY) *

Business Address

Employer / Company

Department

Job Title

Street / P.O. Box

ZIP Code / City

Correspondence Details

E-mail Address *

Phone (Private) *

Phone (Work)

Billing Address*

Private Address

Business Address

50% / 50%

Billing Address*

Registration Details

Use and Disclosure of Personal Data

I do not consent to the disclosure of my contact details (last name, first name, address, e-mail address, and phone number, if applicable) to third parties in connection with this course of study (e.g., class list).

I do not consent to the use of my contact details (last name, first name, address, e-mail address, and phone no., if applicable) by ZHAW for direct marketing campaigns, nor do I consent to the release of my contact details and information concerning my field of study to third parties connected to ZHAW, to the course of study, or to the continuing education programs offered at ZHAW.

General Terms

General terms and conditions for continuing education courses at the ZHAW

Confirmation*

I hereby confirm that I have read and agree to the general terms and conditions for continuing education courses at the ZHAW.

Comment

After successful registration, you will receive an automatically generated confirmation by e-mail.