Pre-registration of a learner

Premiers Secours en Santé Mentale - PSSM - from November 9, 2023 to November 10, 2023

Pour vous inscrire à la formation, veuillez renseigner le formulaire de pré-inscription suivant. Vous pouvez, dans la partie "Note libre" nous indiquer des besoins particuliers vous concernant (handicap, régime alimentaire, allergie...) ou nous contacter au 02 62 71 10 88 ou formation@irepsreunion.org.

General information

Honorific

First name*

Last name* Email* Address*

Postcode*

City*

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Company

Profession*

Company name*

DPC fields

ADELI NO.

RPPS NO.

Other

Free notes

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