Summer Course Evora - Registration Form

Innovative Assessment of Functioning Oriented at Development and Inclusive Learning Evora (PT) 5-11 September 2010

Name Year of Birth Taxpayer Number Identifier Number Institution Choose the option which best defines you     Other
Address StreetPostal CodeCityCountry
E-Mail
Telephone Number:
Country CodeArea CodeNumber
Did you apply for a Grundtvig/Comenius 2.2 grant BE-2010-127-001? Choose a payment option

In case of Bank Transfer - (Portuguese participants) NIB: 0035 0297 00067961130 73 [Caixa Geral de Depósitos], (International participants) IBAN: PT50 0035 0297 00067961130 73 [Caixa Geral de Depósitos]

In case of a cheque - Checks made payable to the Universidade de Évora and send to CIEP - Centro de Investigação em Educação e Psicologia, Universidade de Évora, Apartado 94, 7002-554 Évora. Portugal). In the case of being student, teacher or technician of special education, don't forget to send the corresponding proof. SWIFT/BIC: CGDIPTPL

Important: The registration only will be validated after the reception of the bank transfer confirmatory receipt. You can send it to fax: (+351) 266 768 073, e-mail: cdias@uevora.pt or mail (CIEP - Centro de Investigação em Educação e Psicologia, Universidade de Évora, Apartado 94, 7002-554 Évora, Portugal). After 15th july, fees will not be sent back.