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145.5.1.13  Public Scan

URL: https://www.eur.nl/en/eshpm/payment/53a1e38e-98ff-465b-8313-2d8612f0f262
Submission: On July 24 via manual from DE — Scanned from NL

Form analysis 2 forms found in the DOM

GET /en/eshpm/search

<form class="views-exposed-form autocomplete-search-page form form--main form--search form--header form-fac-result" data-drupal-target-view="search_page-results" data-drupal-selector="views-exposed-form" data-autosuggest="true"
  action="/en/eshpm/search" method="get" id="views-exposed-form-search-page-results" accept-charset="UTF-8" novalidate="">
  <div class="form__inner">
    <div class="js-form-item form-item js-form-type-search form-item-s js-form-item-s form-no-label" id="edit-s-wrapper"> <label for="edit-s" class="visually-hidden"> Search </label> <input class="form-autocomplete form-text form-search"
        placeholder="What are you looking for?" data-drupal-selector="edit-s" type="search" id="edit-s" name="s" value="" size="30" maxlength="128" data-once="fac" autocomplete="off" autocorrect="off" autocapitalize="none" autofocus="autofocus"
        spellcheck="false" aria-autocomplete="list" aria-owns="fac-result-autosuggest-0"></div>
    <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--2"> <button class="button--search button js-form-submit form-submit button--outlined button--with-icon" type="submit"
        id="edit-submit-search-page" value="Search" aria-label="Search" style="outlined" icon="search" data-once="eurDatalayerEvents" data-datalayer="true"> <svg class="button__icon" aria-hidden="true" focusable="false"
          xmlns="http://www.w3.org/2000/svg">
          <use xlink:href="/themes/custom/corporate/dist/images/defs/svg/sprite.defs.svg?v=sh3lg1#search" xmlns:xlink="http://www.w3.org/1999/xlink"></use>
        </svg> <span class="button__text"> Search </span> </button></div>
  </div>
  <div class="fac-result hidden" id="fac-result-autosuggest-0">
    <div class="announce visually-hidden" id="fac-announce-autosuggest-0" role="status" aria-live="polite"></div>
    <ul class="result-list autocomplete-result-list hidden" role="listbox"></ul>
    <h2 class="autosuggest-result-heading hidden">Featured results</h2>
    <ul class="result-list autosuggest-result-list hidden" role="listbox"></ul>
  </div>
</form>

POST /en/eshpm/payment/53a1e38e-98ff-465b-8313-2d8612f0f262

<form class="eur-product-order-form" data-drupal-selector="eur-product-order-form" action="/en/eshpm/payment/53a1e38e-98ff-465b-8313-2d8612f0f262" method="post" id="eur-product-order-form" accept-charset="UTF-8" novalidate="">
  <p>Dear student,<br><br>You are enrolling for the European Master in Health Economics and Management (Eu-HEM) for the academic year&nbsp;2024-2025. The enrollment procedure exists of two steps:<br>1. registration via Studielink and<br>2. the
    payment of the participation fee.<br><br>Your enrollment is finalized after you have completed both steps.<br><br>Participation fee<br>The participation fee for the academic year 2024-2025 for programme country students is
    €9000,-.&nbsp;<br>Payment is possible via Ideal, Paypal and Creditcard (Visa/Mastercard). Please note that the payment method might&nbsp;charge you a surplus for the administration costs.<br><br>More information | Contact<br>Should you need more
    information concerning your enrollment or payment, please contact us via esc@eshpm.eur.nl<br><br>Kind regards,<br>Education Service Centre<br>Erasmus University Rotterdam</p>
  <div class="js-form-item form-item js-form-type-checkbox form-item-form-text-confirmation js-form-item-form-text-confirmation" id="edit-form-text-confirmation-wrapper"> <input data-drupal-selector="edit-form-text-confirmation" type="checkbox"
      id="edit-form-text-confirmation" name="form_text_confirmation" value="1" class="form-checkbox required" required="required" aria-required="true"> <label for="edit-form-text-confirmation" class="option js-form-required form-required"> <svg
        class="checkbox__icon" aria-hidden="true" focusable="false" xmlns="http://www.w3.org/2000/svg">
        <use xlink:href="/themes/custom/corporate/dist/images/defs/svg/sprite.defs.svg?v=sh3lg1#check-square-solid" xmlns:xlink="http://www.w3.org/1999/xlink"></use>
      </svg> I have read the above. <span aria-hidden="true">*</span> <span class="visually-hidden">This field is required</span> </label></div>
  <div class="js-form-item form-item js-form-type-textfield form-item-name-field js-form-item-name-field" id="edit-name-field-wrapper"> <label for="edit-name-field" class="js-form-required form-required"> Name <span aria-hidden="true">*</span> <span
        class="visually-hidden">This field is required</span> </label> <input data-drupal-selector="edit-name-field" type="text" id="edit-name-field" name="name_field" value="" size="60" maxlength="128" class="form-text required" required="required"
      aria-required="true"></div>
  <div class="js-form-item form-item js-form-type-email form-item-email-field js-form-item-email-field" id="edit-email-field-wrapper"> <label for="edit-email-field" class="js-form-required form-required"> Email <span aria-hidden="true">*</span> <span
        class="visually-hidden">This field is required</span> </label> <input data-drupal-selector="edit-email-field" type="email" id="edit-email-field" name="email_field" value="" size="60" maxlength="254" class="form-email required"
      required="required" aria-required="true"></div>
  <fieldset class="container-inline js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-birthdate" id="edit-birthdate-wrapper">
    <legend> <span class="fieldset-legend"> Date of birth </span></legend>
    <div class="fieldset-wrapper">
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          placeholder="dd" required="required" data-drupal-selector="edit-birthdate-day-field" type="number" id="edit-birthdate-day-field" name="birthdate_day_field" value="" step="1" min="1" max="31" class="form-number"></div>
      <div class="js-form-item form-item js-form-type-number form-item-birthdate-month-field js-form-item-birthdate-month-field" id="edit-birthdate-month-field-wrapper"> <label class="form-required" for="edit-birthdate-month-field"> Month </label>
        <input placeholder="mm" required="required" data-drupal-selector="edit-birthdate-month-field" type="number" id="edit-birthdate-month-field" name="birthdate_month_field" value="" step="1" min="1" max="12" class="form-number"></div>
      <div class="js-form-item form-item js-form-type-number form-item-birthdate-year-field js-form-item-birthdate-year-field" id="edit-birthdate-year-field-wrapper"> <label class="form-required" for="edit-birthdate-year-field"> Year </label> <input
          placeholder="yyyy" required="required" data-drupal-selector="edit-birthdate-year-field" type="number" id="edit-birthdate-year-field" name="birthdate_year_field" value="" step="1" min="1924" max="2024" class="form-number"></div>
    </div>
  </fieldset>
  <div id="edit-birthdate-errors-wrapper" class="js-form-item form-item js-form-type-item form-item-birthdate-errors js-form-item-birthdate-errors form-no-label"></div>
  <div id="edit-amount-text-wrapper" class="js-form-item form-item js-form-type-item form-item-amount-text js-form-item-amount-text"> <label for="edit-amount-text"> Amount in euros </label>
    <div>9,000.00</div>
  </div><input autocomplete="off" type="hidden" name="form_build_id" value="form-Pnb_AXJ8m4_yki10rMxFFsLRrW33qx_1ckCcv-EURRk"><input data-drupal-selector="edit-eur-product-order-form" type="hidden" name="form_id" value="eur_product_order_form">
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions"> <button data-drupal-selector="edit-proceed" type="submit" id="edit-proceed" name="op" value="Proceed to confirmation"
      class="button js-form-submit form-submit button--with-icon" data-once="eurDatalayerEvents" data-datalayer="true"> <svg class="button__icon" aria-hidden="true" focusable="false" xmlns="http://www.w3.org/2000/svg">
        <use xlink:href="/themes/custom/corporate/dist/images/defs/svg/sprite.defs.svg?v=sh3lg1#chevron" xmlns:xlink="http://www.w3.org/1999/xlink"></use>
      </svg> <span class="button__text"> Proceed to confirmation </span> </button></div>
</form>

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EU-HEM ENROLLMENT 2024-2025 PARTNER COUNTRY STUDENTS YEAR 1 (COHORT 10 NON-EU)

Order form

Dear student,

You are enrolling for the European Master in Health Economics and Management
(Eu-HEM) for the academic year 2024-2025. The enrollment procedure exists of two
steps:
1. registration via Studielink and
2. the payment of the participation fee.

Your enrollment is finalized after you have completed both steps.

Participation fee
The participation fee for the academic year 2024-2025 for programme country
students is €9000,-. 
Payment is possible via Ideal, Paypal and Creditcard (Visa/Mastercard). Please
note that the payment method might charge you a surplus for the administration
costs.

More information | Contact
Should you need more information concerning your enrollment or payment, please
contact us via esc@eshpm.eur.nl

Kind regards,
Education Service Centre
Erasmus University Rotterdam

I have read the above. * This field is required
Name * This field is required
Email * This field is required
Date of birth
Day
Month
Year

Amount in euros
9,000.00
Proceed to confirmation

ESHPM handles your information confidentially. Your data will only be used to
contact you.

More information: https://www.eur.nl/en/disclaimer/privacy-statement

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