Thank you for your interest to join the PCHF Zurich. Please fill in the next application form, and upload the required documents.

    Please note:
    1) The Application information and documents must be in ENGLISH.

    2) All documents must be in PDF format with a total size less than 10 MB.

    We appreciate your understanding to prepare your application accordingly, otherwise we will not be able to receive or evaluate your application.


    Application to the 7. Postgraduate Course in Health Failure

    Titles

    First name

    Last name

    Birthdate

    Affiliation | Workplace

    Department | Unit

    Your current position

    Correspondence Address

    Contact Phone

    Your e-mail address

    Please re-enter your e-mail address

    Are you currently a board-certified cardiologist?

    Actual or Provisional year of Board Certification
    (only YEAR is relevant, also if in the future)

    Are you a member of the Heart Failure Association?

    Required documents – PDF file format and total file size less than 10 MB to secure the delivery of your application to our system

    Curriculum vitae (CV):

    Medical diploma:

    Copy of Passport or ID:

    Reference letter:

    Motivation letter: