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Registration

Course Fee

The course registration fee is €1,500 until the deadline of April 30th, 2012. Late registration is €1,600 until the deadline of May 31st, 2012.

A non-refundable fee of:

€100 is included in the course fee until May 10th, 2012

€500 is included in the course fee until June 24th, 2012

The course registration fee covers courswork, printed materials, coffee breaks and lunches but it does not include accommodation, food, transport and insurance.

Accommodation

Accommodation will be made available on the university campus. These include single rooms in a dormitory of 6 to 8 rooms with common kitchen and bathroom facilities.
The expenses for accommodations (+/- €450), food and local transport are estimated at €75 for the two-week duration of the course.

Registration

If you are interested in registering for this course, please fill in form below:

Prefix
Lastname:
Firstname:
Position/Title & Organization:
Email:
Home/Office address:
Phone number:
Fax number:
Nationality:
Professional Experience/Education:
Epidemiology Trainning:	Yes No
If 'Yes', on a scale from 1 (very poor) to 5 (very good) how would you rate your knowledge on (slide to choose a value):
- Frequency measures like incidence and prevalence:	1 2 3 4 5
- Risk measures like relative risks and odds ratios:	1 2 3 4 5
- Concepts like sampling and selection bias and confounding factors:	1 2 3 4 5
- Regressions:	1 2 3 4 5
- EpiInfo:	1 2 3 4 5
Computer skills:
Motivation to follow the course:
What is your source of financing for the course?:
Accommodation on the campus requested:	Yes No
I confirm having read all information above!