HAHNEMANN COLLEGE OF HOMEOPATHY

Regal Court, 42- 44 High Street, Slough, Berkshire SL1 1EL – United Kingdom
T: 0044 7799 168089 E: info@hchuk.com W: www.hchuk.com

APPLICATION FORM
HCH ONLINE / DISTANCE LEARNING COURSES
NAME MR / MRS / MS / DR
DATE OF BIRTH
NATIONALITY
ADDRESS

POST CODE COUNTRY

CONTACTS PHONES:
E-MAIL:
EDUCATION BASIC HIGHER
COURSE DESIRED Please select one by ticking.
2 YEARS - D.HOM - LONDON: FEE £1500 Per Year = £3000
1 YEAR - ADVANCE D.HOM-LONDON: £1500
1 YEAR - PG HOM - LONDON: £1500
1 YEAR - FELLOWSHIP - FHCH-LONDON: £1000
START DATE JANUARY / APRIL / JULY/ OCTOBER YEAR:
DURATION:

TEACHING METHOD E-MAIL / POST / SKYPE / SEMINAR / OTHER

COURSE FEE £ PER YEAR / FOR YEARS. TOTAL FEE: £
EXAMINATION & CERTIFICATION FEE: £150
FEE PAYMENT FULL FEE / INSTALLMENTS: OF £ FORMONTHS.
BANK DETAILS HSBC BANK plc, 128 High Street, Slough, Berksshire SL1 EL- UK
Account Name: HAHNEMANN COLLEGE OF HOMEOPATHY LIMITED.
Bank Sort Code: 404208 Account Number: 32080826
IBAN: GB09HBUK40420832080826 Swift Code:HBUKGB4109E
NOTE / MESSAGE All fee MUST be paid to Official College Bank Acount only.
SIGNATURE I confirm that I shall abide the Rules and Regulations of the HCH -UK
as given in the College website: www.hchuk.com

SIGNATURE OF THE STUDENT DATED:

For official use only:
Application received on: By: Scrutinised By:
Fee Status: Fee Account Ref: Admission confirmed on:
Student ID: Course Incharge:
Remarks:
Chief Patron: Mr Charles Tankard Hahnemann Principal: Dr Shashi Mohan Sharma Senior Registrar: Mr Tony Haines
Regisered in England &Wales No. 5962448 Recognised by HMA-UK. ICO Registered: Z1468092 Member: HCPF-UK