Online IMS Application Form

Please fill out this online form in order for IMS to process your application.

Study of Interest:

My 1^st choice of study:
My 2^nd choice of study:
Academic year:

Interested in participating in the IMS preparation course? Yes No

Personal Details

* First name:
* Surname:
Date of birth:	/ /
Gender:	Male Female
Passport No.:
Citizenship:
Address street:
Zip:
City:
Country:
* Email:
* Phone:
Mobile:
Interested in IMS newsletter?:

Payments Instructions


I would like to pay the following Fee:

I would like to pay by credit card:

Credit card type:
Credit card number:
Credit card crv:
Credit card expiration date:	/
Owner's name:

Contents:

I would like to pay by Bank transfer:

Account owner: International Medicine Studies, s.r.o,Vlcie Hrdlo 55,82412 Bratislava,Slovakia
Euro Account No.: 2922815272
Bank Code:1100
IBAN CODE: SK70 1100 0000 0029 2281 5272
SWIFT: TATRSKBX
Bank details: Tatra banka, a.s.,Hodzovo nam. 3, 81106 Bratislava, Slovakia.

Please Note:

Payments must be made in the Euro (€) currency before the deadline indicated in one instalment.
Applicant’s full name must appear on the transfer form.
Transfer fees must be carried by the sender, not the beneficiary.
Fee Transfer form is to be submitted with every payment (by email or post).

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