Reimbursement Claim Form

Select the degree course you are attending.
Select the degree course you are attending.
Attending year(Required)
DD slash MM slash YYYY
DD slash MM slash YYYY

Reimbursement Claim

Please fill in the following section if you would like to claim your reimbursement.
MM slash DD slash YYYY
Residence address (italian address for foreign students)(Required)
Domicile address (if different from residence)
The bank account has to be registered in the student's name.
For foreign bank account
I have read and understood the information on the processing of personal data(Required)
This field is for validation purposes and should be left unchanged.

Humanitas is a highly specialized Hospital, Research and Teaching Center. Built around centers for the prevention and treatment of cancer, cardiovascular, neurological and orthopedic disease – together with an Ophthalmic Center and a Fertility Center – Humanitas also operates a highly specialised Emergency Department.