Pre-registration of a learner

FCBNSSA AJACCIO 2024 - the April 7, 2024

INSCRIPTION au recyclage BNSSA 2024 AJACCIO

General information

Learner's photo *

JPG, PNG or WebP, ≤ 500Ko

Honorific

First name*

Last name* Email* Date of birth*

Birth name

Nationality*

City of birth*

County of birth*

Postcode of place of birth

Address*

Postcode*

City*

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Company*

Profession*

Company name

VAT number

Company registration number

Other

Free notes

Information for funding agencies

Social security number

Socio-professional category

Nature of the employment contract*

Disabled worker recognition

Fields marked with * are mandatory.

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