Registration Form

Duke-NUS Medical School Information Session
19 October 2018
5 PM
Room 103 Liren Biology Building, Fudan University
Address:复旦大学邯郸校区立人生物 220 Handan Road (邯郸路) Shanghai 200433 China

1. Please fill in your details (we will send any updates on the event to the email address provided) 1. Please fill in your details (we will send any updates on the event to the email address provided)
2. What is your current education level? 2. What is your current education level?
3. Which university are you from?
4. What is your course of study?
5. I am interested in the following programme 5. I am interested in the following programme
6. How did you first hear about us? 6. How did you first hear about us?
7. ​I would like to stay connected to Duke-NUS through the mailing list (we send e-newsletters every 2 months and updates on admissions related events, you may unsubscribe at any point) 7. I would like to stay connected to Duke-NUS through the mailing list (we send e-newsletters every 2 months and updates on admissions related events, you may unsubscribe at any point)

Please be informed that photography and videography may be taken during the event for publicity purposes.

Disclaimer: The purpose of  our sign-up forms is to obtain the registration details of prospective students who wish to attend any of our events. An unsubscribe button is included in our e-newsletters if students do not wish to receive them in the future. By filling up our forms, you hereby agree and consent that Duke-NUS may collect and use the personal data collected for marketing purpose in accordance with the Personal Data Protection Act 2012 and all subsidiary legislation related thereto. In respect of disclosure, you understand that Duke-NUS may disclose the personal data to third parties (which may be in or outside of Singapore) where necessary.

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