First Name * Last Name * Please write your name as you wish it to appear in the Diploma. If your name below differs from what appears in our records, please submit a government-issued photo ID with the name as you wish it to appear on the diploma: government-issued photo ID Upload More informationFiles must be less than 2 MB. Allowed file types: gif jpg png. Student Number * Email address * Mobile phone * Date of last grade received * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20232024202520262027 Year Specialization * Startup 360° Med-Tech Innovation I hereby request to close my MBA degree. I hereby request to close my MBA degree. * I hereby declare that I am aware that: *After the degree is closed, it is not possible to participate in additional exams, omit courses from the degree, or change the final average of the degree. I hereby request to exclude the following courses, elective courses studied beyond the credits required for the degree: Submit
