ENROLMENT FORM
Please fill up the following fields. The fields marked with a "*" are required.
1. Personal Details
Family Name* Given Name* Male Female Single Married Other
Date of birth* Country of birth* Nationality*
Religion Passport No
Mailing address/street* Postal code City* State/ Province
Country* Home phone* Mobile phone
Fax E-mail Medical Conditions / Remarks
 
2. Last Three Schools Attended
Name and Place
From
To
 Certificates, Diplomas, Degrees received
       
3. Empolyment Held (if any)
Name and Place From To Position
       
4. Desired Programme
Programme
Starting Date* Cost CHF * Remarks
       
5. Accommodation
Accommodation*
     
6. Airport Transfer
Airport Transfer (Only Geneva) *
No Yes Airport transfers are available from Zurich (CHF 200.-) and from Geneva (CHF 175.-). Please provide us with your exact arrival and details 3 weeks before arrival.
 
7. Date
I hereby confirm that all information stated above is true, that I have read and accepted the Institute's terms and conditions governing fees and notice of withdrawal as set out in IHTTI's documentation.
Date* Confirmed by (name)*    
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