MAcCHM Registration Form SU 2025-26

Registration Form SU 2025-26

Master of Acupuncture
Student ID Number
Student Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Gender
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Please choose the subjects for registration .
Acupuncture Class Subjects
Total Credits
Didactic Tuition
Clinical Internship Subjects
Total Internship Hours
Internship Tuition
Additional Fees
Total Tuition and Fee
Signature
HANBIT UNIVERSITY respects the right to privacy of its students and is committed to safety the personal information of each student.
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