EDUCATIONAL VISITS APPLICATION FORM

1) All fields are MANDATORY.
2) The legal representative of the educational institution/agency is exclusively responsible for the accuracy of the data provided below.
3) This application should be completed only in uppercase characters.
Name of Educational Institution/Agency
Address Zip/Postal Code
City/Region County
Contact numbers
Phone Mobile
Fax
E-mail
Educational Level
(choose and fill in accordingly)
High School Grade
University / Educational Institution Year of Studies
Portgraduate Program Field of Studies
Ohter(specify in detail - max 400 characters)
Total number of visitors
Full Name and position of the competent representative of the institution
Surname Name
Representative Position:
Full Names of escorting teachers/professors
Surname Name
Preferable dates for the visit
(compulsory completion of two alternative dates)
1.
2.
Preferable facility for the visit
South Hub Industrial Installations
(Aspropyrgos or Elefsina Refineries, depending on the availability of each facility)
Thessaloniki Industrial Installations
Group’s Headquarters – Maroussi, Attica
Purpose of Visit
(describe generally - max 400 characters)
Fields of interest
(describe any specific areas in the installations that you are interested in visiting. In case that there aren’t any, write the word: GENERALLY - max 400 characters)
Have you visited our facilities in the past?
Yes (if yes, where and when)
Place Date
No
SECURITY CODE: *
* 
GENERALTERMS AND CONDITIONS OF VISITING THE SOUTH HUB INDUSTRIAL INSTALLATIONS and
GENERALTERMS AND CONDITIONS OF VISITING THESSALONIKI INDUSTRIAL INSTALLATIONS and
GENERALTERMS AND CONDITIONS OF VISITING THE GROUP'S HEADQUARTERS

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