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Pre-registration form

Pre-Registration Form

1 Course Details

2 Personal Information

3 Funding Details

Course Title*
Course Date*
Course Location*

Gender*
- Male
- Female
Name*
Surname*
Name of Your Organisation*
Position in Ogranization*
Your Email*
Phone Number*
Country of Residence*

Are you beneficiary of ERASMUS+ KA1 staff mobility grant (HEI/school/adult education)?*
- Yes
- No
Are you interested in applying for ERASMUS+ KA1 staff mobility grant in the next funding round on 1st of February 2018?*
- Yes
- No
If you do not have an ERASMUS+ KA1 staff mobility grant, would you cover the course costs yourself?*
- Yes
- No
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