Application form

Gender

Age

Identity card

Firstname

Lastname

Birthdate

Father's name

Mother's name

Mother's lastname

Address street

Address number

City

Region

Adress postal code

Prefecture

Country

Phone

2nd Phone

Mobile Phone

2nd Mobile Phone

Education

Program

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I declare that while attending the educational program, I will not attend Hellenic Open University Thematic Module in the same subject. *

I declare that I expressly and unconditionally consent to the processing of the personal data I have filled in this submission form and I have taken note of Hellenic Open University Lifelong Learning Center Privacy Policy. *

I have read and accept Hellenic Open University Lifelong Learning Center Internal Regulation of Operation *

Under my own responsibility, I confirm the accuracy of the information I filled in the above application for my participation in Hellenic Open University Lifelong Learning Center Education Program *

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