ENNIS&IMNHR

Registrations are closed.

In case you have difficulties in completing the application form please contact us via email: ennis.esslei@ipleiria.pt / gcci.esslei@ipleiria.pt


Fields marked with * are mandatory

1. Personal Information

(Enter your full name in accordance with the BI. This field will be used to prepare declarations of presence.)
(Insert the main institution where you work or are associated.)
(Please insert your email address. The address introduced will be used for future communications)

2. Billing Details

If you want the receipt with the information above, you do not need to fill in the fields below.


3. Type of registration

Price
0.00 € TOTAL:

4. Payment Method



Payment by Bank Transfer to:
Instituto Politécnico de Leiria
R. General Norton de Matos
Apartado 4133
2411-901 Leiria

Bank Name:
Instituto de Gestão da tesouraria e do Crédito Publico, IP
Avenida da República, N.º 57, 6º
Place: Lisboa
Postal/Zip Code: 1050-189
Country: Portugal
NIF: 503 756 237
Phone: +351 217 923 300
FAX: +351 217 993 795

NIB: 078101120000000133640
IBAN: PT50078101120000000133640
SWIFT BIC CODE: IGCPPTPL

For bank transfers, the description of the transfer must comply with the following format: "ENNIS&IMNHR+Registration Number".

A copy of the payment/transfer should be sent by email to gcci.esslei@ipleiria.pt.

5. Submit Registration

I declare that all information provided on this form is true. *