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Search for:
COLLEGE
About Us
Mission & Objectives
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BSc Hotel Administration
Certificate Adult Nursing
Cruise Ship Hospitality Operations
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Erasmus +
HOSCO
UNAI
Quality Assurance
Vacancies
Key People
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Faculty
Representatives
Photo Galleries
COURSES
Bachelor Degrees
BSc Hotel Administration
Certificates
Adult Nursing
Cruise Ship Hospitality Operations
Short Courses
Sponsored Courses / Επιχορηγημένα Προγράμματα
Επαρχία Αμμοχώστου/Famagusta District
Επαρχία Πάφου/Pafos District
Επαρχία Λάρνακας/Larnaca District
English Language Foundation Program
ADMISSIONS
Requirements
International
Local & EU
How to Apply
International
Local & EU
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Academic Calendar
Tuition & Other Fees
Scholarships
Academic Mentors
Examinations & Grading
Policies & Regulations
Tuition Fee Refund Policy
Academic Tutoring
Code of Conduct
Appeals & Petitions
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Accommodation
Student Affairs & Welfare Office
Orientation
Graduation
Cyprus at a Glance
Getting Here
Work Opportunities
Forms
IELTS Support
European Credit Transfer System (ECTS)
Erasmus +
Europass
RESEARCH
Mission & Objectives
KPI’S
Funding
Research Activities & Publications
Center of Applied Geophysics and Non-Destructive Testing
Director of Casa Research Centre
Educational & Research Advisor
LIBRARY
About
EBSCO
Online Library
Login
Library Databases & Search Engines
College Publications
Prospectus
Student Pocket Guide
Newsletter
Magazines
Promotional Materials
CONTACT
ENG
COLLEGE
About Us
Mission & Objectives
Accreditations
BSc Hotel Administration
Certificate Adult Nursing
Cruise Ship Hospitality Operations
Affiliations
Erasmus +
HOSCO
UNAI
Quality Assurance
Vacancies
Key People
Administrative Staff
Faculty
Representatives
Photo Galleries
COURSES
Bachelor Degrees
BSc Hotel Administration
Certificates
Adult Nursing
Cruise Ship Hospitality Operations
Short Courses
Sponsored Courses / Επιχορηγημένα Προγράμματα
Επαρχία Αμμοχώστου/Famagusta District
Επαρχία Πάφου/Pafos District
Επαρχία Λάρνακας/Larnaca District
English Language Foundation Program
ADMISSIONS
Requirements
International
Local & EU
How to Apply
International
Local & EU
STUDENT INFO
College Hours
Academic Calendar
Tuition & Other Fees
Scholarships
Academic Mentors
Examinations & Grading
Policies & Regulations
Tuition Fee Refund Policy
Academic Tutoring
Code of Conduct
Appeals & Petitions
Facilities
Accommodation
Student Affairs & Welfare Office
Orientation
Graduation
Cyprus at a Glance
Getting Here
Work Opportunities
Forms
IELTS Support
European Credit Transfer System (ECTS)
Erasmus +
Europass
RESEARCH
Mission & Objectives
KPI’S
Funding
Research Activities & Publications
Center of Applied Geophysics and Non-Destructive Testing
Director of Casa Research Centre
Educational & Research Advisor
LIBRARY
About
EBSCO
Online Library
Login
Library Databases & Search Engines
College Publications
Prospectus
Student Pocket Guide
Newsletter
Magazines
Promotional Materials
CONTACT
ENG
Accident Report Form
casacoll
2022-08-16T07:02:04+00:00
Accident Report Form
"
*
" indicates required fields
Personal Information of the person who reports the accident:
Full Name:
Please write your First, Middle & Last name if applicable
File No:
If applicable
Address
Street Address
City
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
*
Phone
*
Gender:
*
Male
Female
Other
Tick the Appropriate Boxes:
*
Student
Administrative Staff
Faculty
Other
Personal Information of the injured person:
Full Name:
Please write your First, Middle & Last name if applicable
File No:
If applicable
Address
Street Address
City
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
Phone
Gender:
Male
Female
Other
Tick the Appropriate Boxes:
Student
Administrative Staff
Faculty
Other
Accident Information
Date of Accident:
DD slash MM slash YYYY
Time of Accident:
Hours
:
Minutes
AM
PM
AM/PM
Type of Injury:
Did the injury require a hospital visit:
Yes
No
No information
If Yes, please state
Hospital:
Doctor's Name:
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