Please, complete the registration form and follow the payment instructions which can be by bank transfer if you are in Peru, or via a VISA card if you are abroad.



First Name (Given Name)*

Last Name (Surname)*

ID type*

ID number *

Nationality*

Address

ZipCode

City*

State / Province*

Country*

Phone*

Email*

Institucion

Enter your name as you want it to be printed on your certificate*

Additional Requests