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Application Form: IPHU online course, The Struggle for Health, 28 June to Sunday 13 October 2013

Personal information
Place of origin
Place of residence
Contact information
Indicate the email address on which you wish to receive all correspondences concerning the course.
If you wish to provide more email addresses, please type one address per line.
Phone numbers
- Please provide at least one reliable telephone number. - Example: + (Country code) (City code) (Phone number)
Professional information
In addition, please indicate if you are involved in People's Health Movement (PHM) in your country; and if so in what ways.
Language skills

The People's Charter for Health is the founding document of the People’s Health Movement (PHM).  We ask that all applicants to the International People's Health University read the People's Charter for Health.

The Preamble from the Charter reads:

Health is a social, economic and political issue, and above all a fundamental human right.  Inequity, poverty, exploitation, violence and injustice are at the root of ill health and the deaths of poor and marginalized people.  Health for all means that powerful interests have to be challenged, that corporate-led globalization has to be opposed, and that political and economic priorities have to be drastically changed.