Pre-registration of a learner

FC BNSSA Ajaccio mai 2021 - from May 15, 2021 to May 16, 2021

Merci de renseigner les champs demandés pour établir votre "FICHE INFORMATIONS".

Si vous êtes reconnus travailleur handicapé, merci de nous contacter par téléphone pour définir les besoins en compensation.

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*

Gross hourly wage

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by CROS Corse in order to manage your registration on the site. To find out more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy