 Family Name * |
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| First Name * |
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| Gender |
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| Age |
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| Nationality |
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| University/City/Country |
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| Grade |
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| E-mail * |
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| Confirm e-mail * |
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| Mailing Address |
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| Postcode |
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| City |
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| Country |
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| Previous or current studies
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| Degrees (obtained or in progress) * |
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| Date of examination (mm/dd/yy) * |
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| Specialisation |
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| Final year project undertaken * |
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| Technical skills * |
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Professional experience
(if applicable) |
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| Program |
International Master of interest (2 years) :
Information Systems
Embedded systems and medical image engineering
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| Prospective year of entry (yyyy/yyyy) * |
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| Language Level |
| English |
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| French |
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| Other native language |
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| PhD after MSc |
| Please indicate whether you are interested in PhD after the MSc programme |
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| if yes, in (yyyy/yyyy) |
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