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:

Password requisites

Minimum length of password is 8 characters.
Minimum number of small letters is 1.
Minimum number of capital letters is 1.
Minimum number of digits is 1.

Diacritics is prohibited (only ASCII characters are allowed).

Click on the Register button to send the registration form.