Online Registration Form for Graduate Campus Personal Information Last Name * First Name * Birthday * Gender m f Nationality * Private Address Street * ZIP * City * Private E-Mail Address * Work Address Organization/Institute * please choose BIHAM Bern ceb Basel EbIM Basel EBPI Zurich ECPM Basel DEASS Manno Department Health ZHAW Winterthur DSBG Basel ICP Lugano IdEP Lugano IDS Neuchâtel INS Basel ISG Geneva ISPM Bern Seminar Health Sciences and Health Policy Lucerne Swiss TPH Basel Unisanté (IST) Lausanne Unisanté (IUMSP) Lausanne WIG Winterthur Other, please specify Other, please specify * Street * ZIP * City * Work E-Mail Address * Phone Education: University and Postgraduate Degrees Please fill in all your Master’s degrees. If you have more than one, click on ‘add’ Title * University * Place * Year * add remove PhD Information Supervisor Name * University * please choose Basel Bern Geneva Lausanne Lucerne Neuchâtel Svizzera italiana Zurich SUPSI ZHAW Matriculation Number * Required ECTS (according to your PhD regulation) Aimed Title * (PhD in …) Thesis Title * Co-Supervisor(s)/PhD Committee * Start of PhD * Planned End of PhD * Attachments File Upload * Drop a file here or click to upload Choose File Maximum upload size: 16.78MB Please add the following documents: - Proof of enrollment as doctoral student at your university (scan of your immatriculation card) - Portrait photo reCAPTCHA If you are human, leave this field blank.