Registration form for partner organization


Fill in the following form to apply for registration to Portal for University-Business Cooperation. The password you enter will be your password to access the Portal after registration. After you send the completed form, you will receive an e-mail confirming your registration details.

Registration form

Company headquarters
Company name:
Country:
Town:       
Town:
Street:
Post code:
Contact information
Phone:  (in international format, e.g. +420 123 456 789)
E-mail:
Web:
Further information
Company ID:
Sphere of activity:
Category according to number of employees:
Field of study:
As a logo enter an image in PNG or JPG formats.
Logo:
Activity specification can have max. 1,000 characters.
Description of activity:
 
Information about contact person:
Enter name and surname without degrees.
Name:
Surname:
Sex: male      female
Work post:
Date of birth is a classified detail and is applicable only for internal register of the University information system.
Date of birth:
Phone:  (in international format, e.g. +420 123 456 789)
E-mail:
Password:
Controle password:

Click on the Register button to send the registration form.