Register Interest - Newcastle Biomedicine

Oncology & Palliative Care- Register your interest

Please fill in this form to register your interest in Oncology and Palliative Care.

Fields that are marked with (*) represent required information. Please be sure to provide us with this information. Thank you.

All fields marked * are mandatory.

Title *
Name * First
Last
Sex * Male Female
Date of Birth * DD
/ MM
/ YYYY
Address *
Street Address

Address Line 2

City

County

Postcode

Country
Your Email *
Daytime Telephone *
Evening Telephone
Job Title *
Employer Name *
Employer Email *
Year you would be interested in starting the course? *
Do you have access to the internet and a computer with a printer? *
What pathway are you interested in? * Oncology (MSc/Diploma) Oncology for the Pharmaceutical Industry (MSc/Diploma) Palliative Care (MSc/Diploma) Certificate in Cancer Studies Standalone Modules
If you selected Standalone Modules, what module(s) are you interested in?
What is your highest qualification? *
You will be required to provide proof at a later date. You may be given credit for your knowledge and experience.
If you chose Other, please state:
Where did you hear about the course? *
Please specify advert/publication etc.
Data Protection Statement: All information that we hold concerning you as an individual will be held and processed by Newcastle University strictly in accordance with the Data Protection Act 1998. Such data will be used to administer our relationship with you and to provide you with information about the University's courses, events and related activities. We will not, without your consent, supply your name and addresses to any third party except where (1) such transfer is a necessary part of the activities we undertake, or (2) we are required to do so by operation of law. Newcastle University's data protection policy is available at www.ncl.ac.uk/data.protection/

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Newcastle University, Newcastle upon Tyne
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