Pre-registry for the Interdisciplinary Neuroethics Diploma course
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Name and surname *
Birthdate *
年
/
月
/
日
Address *
If in Mexico: address details
If outside Mexico: address details
Major or University Degree and Institution *
Masters Degree and Institution
Doctorate and Institution
Do you work? *
Institution and title
Do you study? *
Institution and program (in) which you study
Languages you speak and understand
Do you understand English 80-100%? *
Do you speak and write English 80-100%? *
Do you have previous studies in neuroethics or ethics? *
必填
Reason for your interest in this course
Have you studied at Universidad Anahuac? *
If you have, please provide your student ID
e-mail address *
telephone number *
How did you learn about the course? *
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